SETH MATTHEW BOULLION

LAKE CHARLES, LA
NPI1922983923
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  12165)
Enumeration Date2025-08-08
Last Update Date2025-08-08
Business Address
SETH MATTHEW BOULLION DPT
208 W MCNEESE ST
LAKE CHARLES, LA 70605-5638
Phone number: 337-475-1053
Mailing Address
SETH MATTHEW BOULLION DPT
208 W MCNEESE ST
LAKE CHARLES, LA 70605-5638
Phone number: