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1528815156
STEVEN MORTRUD
LAKE CHARLES, LA
NPI
1528815156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 341189)
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
STEVEN MORTRUD MOT
127 W BROAD ST STE 850
LAKE CHARLES, LA 70601-4394
Phone number: 337-310-8500
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Mailing Address
STEVEN MORTRUD MOT
21342 PARKER DRIVE
MANDEVILLE, LA 70471-7610
Phone number:
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