Individual
MRS. PATRICIA ELSA GAUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
Mailing address
403 HOLLY ST, VIDALIA, LA 71373-2637
(318) 336-7643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
07464R
LA
225100000X
Physical Therapist
1665
NM
2251P0200X
Pediatric Physical Therapist
Primary
PT4511
MS
Other
Enumeration date
03/14/2007
Last updated
08/31/2010
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