Individual
CARMEN CARMOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4633 WICHERS DR, MARRERO, LA 70072-3002
(504) 391-7670
Mailing address
525 BONNABEL BLVD, METAIRIE, LA 70005-3259
(504) 442-5552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0436
LA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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