MISTY ENTREMONT

PRAIRIEVILLE, LA
NPI1144691007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A9033R)
Enumeration Date2015-10-16
Last Update Date2015-10-16
Business Address
-- MISTY ENTREMONT
18059 OLD RESERVE DR
PRAIRIEVILLE, LA 70769-5547
Phone number: 979-487-8798
Mailing Address
-- MISTY ENTREMONT
18059 OLD RESERVE DR
PRAIRIEVILLE, LA 70769-5547
Phone number: 979-487-8798
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