Individual
MISS THERESA AZCUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3676 HARDING BLVD, SUITE B &C, BATON ROUGE, LA 70807-5258
(225) 454-6005
(225) 454-6018
Mailing address
PO BOX 74587, BATON ROUGE, LA 70874-4587
(225) 810-3518
(225) 454-6018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01148F
LA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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