Individual
PRISCILLA ANNE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 RIDGELAKE DR STE 209, METAIRIE, LA 70002-4934
(504) 309-0868
Mailing address
3304 MASSACHUSETTS AVE, KENNER, LA 70065-3815
(504) 305-6440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06874
LOUISIANA PHYSICAL THERAPY BOARD
LA
Enumeration date
01/12/2017
Last updated
01/12/2017
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