Caroline Bordelon Detraz

NPI #1598748741 in Carencro, Louisiana

Provider Information

NPI Number: 1598748741
Entity Type: Individual
Name: Caroline Bordelon Detraz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 22, 2005
Last Updated: Feb 22, 2017

Practice Location

Address: 204 E SAINT PETER ST
City: Carencro
State: Louisiana
ZIP Code: 70520-4009
Phone: (337) 896-6686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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