RYAN ANTHONY BOUTERIE

LAFAYETTE, LA
NPI1104151927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  07724)
Enumeration Date2009-10-13
Last Update Date2009-10-13
Business Address
Mr. RYAN ANTHONY BOUTERIE DPT
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
Mailing Address
Mr. RYAN ANTHONY BOUTERIE DPT
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
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