Individual
MRS. CASIE MULLETT CALLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
(985) 649-7615
Mailing address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
(985) 649-7615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08187
LA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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