Individual
MRS. KASEY MOORE WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
5238 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 906-4097
(225) 650-2357
Mailing address
5238 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 906-4097
(225) 650-2357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07595
LA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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