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1104500222
HEATH VILLERE
COVINGTON, LA
NPI
1104500222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: LA 06509)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
Mr. HEATH VILLERE PT
129 CORPORATE DR
COVINGTON, LA 70433-1057
Phone number: 985-249-6111
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Mailing Address
Mr. HEATH VILLERE PT
129 CORPORATE DR
COVINGTON, LA 70433-1057
Phone number: 985-249-6111
Copy
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