Individual
STEPHANIE CANCIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
601 HOLY TRINITY DR, COVINGTON, LA 70433-6230
(985) 605-0484
Mailing address
601 HOLY TRINITY DR, COVINGTON, LA 70433-6230
(985) 605-0484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200049
LA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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