Individual
BETH M CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
231 DEVON RD, LA PLACE, LA 70068-5205
(985) 212-1660
Mailing address
231 DEVON RD, LA PLACE, LA 70068-5205
(985) 212-1660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00336
LA
225100000X
Physical Therapist
1027837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503436
—
LA
Enumeration date
12/13/2006
Last updated
07/09/2007
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