Individual
MRS. SHERALYN KING CALLIHAN-FAVROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
309 S VAUGHN DR STE F, BRUSLY, LA 70719-2593
(225) 749-2065
(225) 749-2427
Mailing address
7523 HIGHWAY 1 S, ADDIS, LA 70710-2148
(225) 687-0602
(225) 687-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01005
LA
Other
Enumeration date
05/15/2006
Last updated
09/24/2019
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