Individual
MARISOL MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 CHURCH ST, ZACHARY, LA 70791-2743
(225) 654-8208
(225) 654-4642
Mailing address
1326 CHURCH ST, ZACHARY, LA 70791-2743
(225) 654-8208
(225) 654-8208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10339
LA
Other
Enumeration date
07/07/2016
Last updated
10/01/2020
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