Individual
MR. DANE ESTEL HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
17050 MEDICAL CENTER DR, SUITE 203, BATON ROUGE, LA 70816-3221
(225) 756-3744
Mailing address
23245 OLD SCENIC HWY, ZACHARY, LA 70791-6200
(225) 570-2293
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
03881R
LA
225100000X
Physical Therapist
03881R
LA
225400000X
Rehabilitation Practitioner
03881R
LA
Other
Enumeration date
03/15/2007
Last updated
09/11/2025
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