Individual
MRS. ANDREA WATERS MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
8080 BLUEBONNET BLVD, SUITE # 110, BATON ROUGE, LA 70810-7827
(225) 408-7990
(225) 408-7989
Mailing address
8080 BLUEBONNET BLVD, SUITE # 110, BATON ROUGE, LA 70810-7827
(225) 408-7990
(225) 408-7989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200115
LA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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