Individual
MRS. EILEEN BECNEL CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, OT
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
Mailing address
1314 NORMANDY DR, BATON ROUGE, LA 70806-7641
(225) 206-2133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07619
LA
225X00000X
Occupational Therapist
OTT.200285
LA
Other
Enumeration date
03/25/2009
Last updated
10/17/2018
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