Individual
NICOLE R. BAROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6709
(337) 261-6749
Mailing address
100 GARDEN GROVE DR, LAFAYETTE, LA 70506-7108
(337) 989-1997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11634
LA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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