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Individual

KRISTIE MONTOUCET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
112 REPUBLIC AVE, STE C, LAFAYETTE, LA 70508-6863
(337) 216-0190
Mailing address
123 CREDEUR RD, SCOTT, LA 70583-4115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01866
LA

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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