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Individual

MS. ANGELA C STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
15420 S HARRELLS FERRY RD, STE. A, BATON ROUGE, LA 70816-2933
(225) 214-5330
(225) 214-5333
Mailing address
8080 BLUEBONNET BLVD, STE 110, BATON ROUGE, LA 70810-7827
(225) 408-7990
(225) 408-7989

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200245
LA

Other

Enumeration date
06/26/2008
Last updated
06/26/2008
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