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Individual

LORI BAKER HALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
555 LAHAYE RD, MAMOU, LA 70554-4818
(337) 363-7133
Mailing address
555 LAHAYE RD, MAMOU, LA 70554-4818
(337) 363-7133

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20115
LA

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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