Individual
SARAH KATHLEEN BRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
Mailing address
PO BOX 215, EVANS, LA 70639-0215
(337) 378-9099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
334836
LA
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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