Individual
MS. KATIE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
6500 W MAIN ST, HOUMA, LA 70360-2267
(985) 580-9922
(985) 580-9921
Mailing address
6500 W MAIN ST, HOUMA, LA 70360-2267
(985) 580-9922
(985) 580-9921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343868
LA
Other
Enumeration date
09/11/2024
Last updated
09/26/2024
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