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Individual

MARIA BERTHIAUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
LSU BROUSSARD CENTER FOR ATHLETIC TRAINING, BATON ROUGE, LA 70803-0001
(225) 218-3318
Mailing address
LSU ATHLETIC ADMINISTRATION BUILDING, BATON ROUGE, LA 70803-0001

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ATH.200474
LA

Other

Enumeration date
06/14/2019
Last updated
06/14/2019
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