Individual
MRS. SHELLEY ROSE BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 LAWRENCE PKWY, SAINT GABRIEL, LA 70776-5133
(225) 892-8928
Mailing address
6555 PIKES LN, BATON ROUGE, LA 70808-4271
(225) 892-8928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7654
LA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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