LACONYA RENE BASNIGHT

ZACHARY, LA
NPI1588957252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  Z11819)
Enumeration Date2011-05-27
Last Update Date2011-05-27
Business Address
Mrs. LACONYA RENE BASNIGHT LOTR
8254 ORMAND DR
ZACHARY, LA 70791-7129
Phone number: 225-654-2584
Mailing Address
Mrs. LACONYA RENE BASNIGHT LOTR
8254 ORMAND DR
ZACHARY, LA 70791-7129
Phone number: 225-654-2584