BLAKE LAGRANGE

BATON ROUGE, LA
NPI1124458070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200470)
Enumeration Date2013-11-13
Last Update Date2013-11-13
Business Address
-- BLAKE LAGRANGE MOT
5238 DIJON DR
BATON ROUGE, LA 70808-4311
Phone number: 225-906-4097
Mailing Address
-- BLAKE LAGRANGE MOT
5238 DIJON DR
BATON ROUGE, LA 70808-4311
Phone number:
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