Individual
TABITHA HARALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36079 LA-16, DENHAM SPRINGS, LA 70706
(225) 665-8858
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200284
LA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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