Individual
MS. CARY LYNN BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
SLU BOX 10845, HAMMOND, LA 70402-0001
(985) 549-2351
Mailing address
17274 RIVERSIDE LN, TICKFAW, LA 70466-2846
(985) 429-0096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J-000310
LA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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