Individual
PROF. VICTOR JOSEPH VARISCO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
233 DOUCET RD, SUITE B2, LAFAYETTE, LA 70503-3403
(337) 991-9972
(337) 991-9974
Mailing address
233 DOUCET RD, SUITE B2, LAFAYETTE, LA 70503-3403
(337) 991-9972
(337) 991-9974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10794
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z10794
OT LICENSE NUMBER
LA
Enumeration date
06/08/2006
Last updated
07/08/2007
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