Individual
MRS. ELLEN HYMEL GASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
515 MONSANTO AVE, LULING, LA 70070-2157
(985) 785-8874
Mailing address
515 MONSANTO AVE, LULING, LA 70070-2157
(985) 785-8874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06473
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-06841-1
—
LA
Enumeration date
03/26/2007
Last updated
07/08/2007
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