Individual
ELISE ST PE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
530 SHADOWS LN, BATON ROUGE, LA 70806-6530
(225) 231-3800
(225) 231-3803
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11903
LA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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