Individual
TERRY GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BRANDON PL, MANDEVILLE, LA 70471-1790
(985) 264-2833
Mailing address
104 BRANDON PL, MANDEVILLE, LA 70471-1790
(985) 264-2833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12484
LA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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