Individual
MR. CRAIG D. DAUTERIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
6824 VETERANS BLVD STE 100, METAIRIE, LA 70003
(504) 301-0061
(504) 301-0062
Mailing address
9629 MARSHA DR, RIVER RIDGE, LA 70123-2009
(504) 390-2076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT08071
LA
Other
Enumeration date
06/08/2011
Last updated
07/24/2018
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