GERALYN PROVENZANO

COVINGTON, LA
NPI1992425466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2022-09-02
Last Update Date2022-09-02
Business Address
GERALYN PROVENZANO
706 W 28TH AVE
COVINGTON, LA 70433-1466
Phone number: 985-898-3329
Mailing Address
GERALYN PROVENZANO
706 W 28TH AVE
COVINGTON, LA 70433-1466
Phone number:
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