Individual
MARY CAROLINE ELLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
248 S FRENCH QUARTER DR, HOUMA, LA 70364-2663
(985) 226-1401
(985) 868-6297
Mailing address
248 S FRENCH QUARTER DR, HOUMA, LA 70364-2663
(985) 226-1401
(985) 868-6297
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1173570
TX
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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