Individual
PROF. STEPHEN RUSSELL HABETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1307 OLD JEANERETTE RD, NEW IBERIA, LA 70563-5800
(337) 367-3331
(337) 367-6494
Mailing address
1307 OLD JEANERETTE RD, NEW IBERIA, LA 70563-5800
(337) 367-3331
(337) 367-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04090
LA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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