Graduated: 2022
NPI: 1396486676
Practice Locations (2)
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
1202 S TYLER ST
COVINGTON, LA 704332330
9858983743
LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA
1000 WALTERS ST
LAKE CHARLES, LA 706074647
3374808066
Source: CMS National Downloadable File, September 2026.