Individual
MRS. PAULETTE COOPER WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
207 ELMWOOD ST, MANDEVILLE, LA 70448-6318
(985) 674-2604
Mailing address
207 ELMWOOD ST, MANDEVILLE, LA 70448-6318
(985) 674-2604
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2351
LA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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