Marissa D Mouton, OT

NPI #1982335766 in Carencro, Louisiana

Provider Information

NPI Number: 1982335766
Entity Type: Individual
Name: Marissa D Mouton, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 22, 2022
Last Updated: Jun 22, 2022

Practice Location

Address: 109 WALLACE BROUSSARD RD STE 300A
City: Carencro
State: Louisiana
ZIP Code: 70520-6354
Phone: (337) 347-6668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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