Organization
TAYLORED BY BROOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA DANIELLE CORMIER (PROSTHETIC ORTHOTIC PROVIDER)
(337) 281-2859
Entity
Organization
Contact information
Practice address
1008 CAMERON ST STE B, LAFAYETTE, LA 70501-5610
(337) 281-2859
Mailing address
5520 JOHNSTON ST, LAFAYETTE, LA 70503-5138
(337) 281-2859
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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