Individual
MRS. KELEIN LATRICE OUBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
41176 LAKEWAY COVE AVE, GONZALES, LA 70737-8949
(225) 939-4460
Mailing address
41176 LAKEWAY COVE AVE, GONZALES, LA 70737-8949
(225) 939-4460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07088
LA
Other
Enumeration date
05/25/2009
Last updated
05/25/2009
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