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Individual

ANNA BETH DEVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L-COTA

Contact information

Practice address
305 E COURT ST, WINNFIELD, LA 71483-3212
(318) 628-3913
Mailing address
785 FIRE TOWER RD, AIMWELL, LA 71401-4806
(318) 413-0693

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
326184
LA

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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