Individual
CAMILLE DENICE MICHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37550 PROVENCE POINTE AVE, PRAIRIEVILLE, LA 70769-4398
(225) 603-1643
Mailing address
37550 PROVENCE POINTE AVE, PRAIRIEVILLE, LA 70769-4398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03576
LA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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