Individual
CHARLES GARRETT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S WILLIAMS AVENUE, NATCHITOCHES, LA 71457-2154
(318) 214-0088
(318) 214-4493
Mailing address
PO BOX 2154, NATCHITOCHES, LA 71457-2154
(318) 214-0088
(318) 214-4493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11928
LA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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