Individual
MR. TERTIUS L. AUSTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
2110 JUSTICE ST, MONROE, LA 71201-3618
(318) 322-8811
(318) 322-8368
Mailing address
2703 W DEBORAH DR, MONROE, LA 71201-2001
(318) 372-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12100
LA
Other
Enumeration date
09/21/2006
Last updated
07/17/2020
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