Individual
CHAD ARDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4112 LAKE ST # 600, LAKE CHARLES, LA 70605-4306
(337) 304-8024
Mailing address
1123 BENVUE LN, LAKE CHARLES, LA 70605-2654
(337) 304-8024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11807
LA
Other
Enumeration date
11/14/2017
Last updated
03/14/2018
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