Individual
GABRIELLE C FOURCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 TULANE AVE FL 7, NEW ORLEANS, LA 70112-2600
(504) 988-5194
Mailing address
209 LAMARQUE ST, MANDEVILLE, LA 70448-5930
(985) 373-6866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10321
LA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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