Individual
MR. MICHAEL A DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
43119 NORWOOD RD, GONZALES, LA 70737-7520
(225) 622-3470
Mailing address
43119 NORWOOD RD, GONZALES, LA 70737-7520
(225) 622-3470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3608
LA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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