CAROLINE BORDELON DETRAZ

CARENCRO, LA
NPI1598748741
Former NameCAROLINE CHRISTINE BORDELON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200079)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: SC  2806)
Enumeration Date2005-11-22
Last Update Date2017-02-22
Business Address
CAROLINE BORDELON DETRAZ
204 E SAINT PETER ST
CARENCRO, LA 70520-4009
Phone number: 337-896-6686
Mailing Address
CAROLINE BORDELON DETRAZ
2002 JOHNSON ST SUITE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547