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Individual

GRACE FITTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2132 GAUSE BLVD E STE 6, SLIDELL, LA 70461-4243
(985) 646-2531
Mailing address
205 FROST LN, MANDEVILLE, LA 70448-7028

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
327499
LA
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/13/2022
Last updated
03/22/2026
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