MARK P GREMILLION

JENNINGS, LA
NPI1134284557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  Z10533)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
Mr. MARK P GREMILLION OT
2002 JOHNSON ST STE 100
JENNINGS, LA 70546-3646
Phone number: 337-824-4547
Mailing Address
Mr. MARK P GREMILLION OT
118 RICHLAND AVE
LAFAYETTE, LA 70508-6606
Phone number: 337-824-4547