Individual
MRS. VIRGINIA FAIRCHILD YURATICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
801 E JUDGE PEREZ DR, STE A, CHALMETTE, LA 70043-5353
(504) 278-7567
(504) 278-7569
Mailing address
801 E JUDGE PEREZ DR, STE A, CHALMETTE, LA 70043-5353
(504) 278-7567
(504) 278-7569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05064
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05064
STATE LICENSE NUMBER
LA
Enumeration date
09/22/2006
Last updated
06/18/2015
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