Dareth Lynn Waguespack

NPI #1295355642 in Gonzales, Louisiana

Provider Information

NPI Number: 1295355642
Entity Type: Individual
Name: Dareth Lynn Waguespack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 24, 2020
Last Updated: Apr 24, 2020

Practice Location

Address: 821 N BURNSIDE AVE
City: Gonzales
State: Louisiana
ZIP Code: 70737-2835
Phone: (225) 939-7205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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