Individual
MRS. HOLLY B MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1331 LAGNEAUX RD, DUSON, LA 70529-4400
(337) 230-9929
Mailing address
1331 LAGNEAUX RD, DUSON, LA 70529-4400
(337) 988-6948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11991
LA
Other
Enumeration date
03/28/2007
Last updated
10/21/2022
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