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1760057111
ELENA DIMATTIA
LAKE CHARLES, LA
NPI
1760057111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10898)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
ELENA DIMATTIA DPT
1490 MARKET ST STE 2
LAKE CHARLES, LA 70601-3850
Phone number: 337-990-5621
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Mailing Address
ELENA DIMATTIA DPT
100 ZACHARY DR
SCOTT, LA 70583-5332
Phone number: 337-706-1142
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