Individual
MRS. THERESA CEARLEY CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-3690
Mailing address
1205 LAKEVIEW DR, RUSTON, LA 71270-5237
(318) 614-6017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10761
LA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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