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Individual

TREVOR SCOTT CAULKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
747 W MAIN ST, VILLE PLATTE, LA 70586-4325
(863) 677-1402
Mailing address
747 W MAIN ST, VILLE PLATTE, LA 70586-4325
(863) 677-1402

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
309230
LA

Other

Enumeration date
05/02/2020
Last updated
05/02/2020
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