Individual
LAURA L COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
342 MAGNOLIA AVE, NEW IBERIA, LA 70563-2544
(337) 224-8487
Mailing address
PO BOX 14005, NEW IBERIA, LA 70562-4005
(337) 224-8487
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5967
LA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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