MITCHELL ROYCE TALLEY

LAKE CHARLES, LA
NPI1912343120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  08546)
Enumeration Date2013-05-14
Last Update Date2022-07-21
Business Address
Mr. MITCHELL ROYCE TALLEY DPT
208 W MCNEESE ST
LAKE CHARLES, LA 70605-5638
Phone number: 337-475-1053
Mailing Address
Mr. MITCHELL ROYCE TALLEY DPT
1322 ELTON RD STE I
JENNINGS, LA 70546-4100
Phone number: 337-824-4547
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