MRS. Angie Cook Deharde, PT

NPI #1114962917 in Slidell, Louisiana

Provider Information

NPI Number: 1114962917
Entity Type: Individual
Name: MRS. Angie Cook Deharde, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 85 WHISPERWOOD BLVD
City: Slidell
State: Louisiana
ZIP Code: 70458-1136
Phone: (985) 641-2866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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