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1174774491
WENDY VIDRINE
PINEVILLE, LA
NPI
1174774491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z20525)
Enumeration Date
2008-10-06
Last Update Date
2008-10-09
Business Address
-- WENDY VIDRINE OTA
100 PINECREST DR
PINEVILLE, LA 71360-4276
Phone number: 318-641-2000
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Mailing Address
-- WENDY VIDRINE OTA
PO BOX 5191
PINEVILLE, LA 71361-5191
Phone number: 318-641-2000
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