Individual
MRS. KIMBERLY SELLERS BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
726 VETERANS DR, CARENCRO, LA 70520-3619
(337) 565-4355
(337) 565-4357
Mailing address
726 VETERANS DR, CARENCRO, LA 70520-3619
(337) 565-4355
(337) 565-4357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11562
LA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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