Individual
GAY RICE HALLIBURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9511 CREEKVIEW DR STE B, BATON ROUGE, LA 70836-6459
(225) 224-0114
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
(225) 224-0114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11050
LA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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