Organization
FULL OF GRACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH SOILEAU (OWNER)
(337) 912-4021
Entity
Organization
Contact information
Practice address
4211 LAKE ST STE 20, LAKE CHARLES, LA 70605-5001
(337) 270-2424
Mailing address
4211 LAKE ST STE 20, LAKE CHARLES, LA 70605-5001
(337) 270-2424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
04/18/2024
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