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1710558622
MELISSA R FORTENBERRY
LAFAYETTE, LA
NPI
1710558622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 05135)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
MELISSA R FORTENBERRY
216 ENGLISH GARDENS PKWY
LAFAYETTE, LA 70503-5680
Phone number: 337-322-7744
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Mailing Address
MELISSA R FORTENBERRY
216 ENGLISH GARDENS PKWY
LAFAYETTE, LA 70503-5680
Phone number: 337-322-7744
Copy
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