Individual
MRS. HANNAH AILEEN VIDRINE DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Mailing address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301040
LA
Other
Enumeration date
01/26/2016
Last updated
06/20/2016
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