Deharde, Angie Cook

Deharde, Angie Cook is an individual health care provider with primary practice located at 85 Whisperwood Blvd , Slidell LA 70458-1136. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Deharde, Angie Cook can be contacted via phone (985) 641-2866.

Contact Information

Primary practice address
85 Whisperwood Blvd Slidell LA 70458-1136
Phone: (985) 641-2866
Fax: (985) 781-5395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 06416 Louisiana

Profile Details

NPI number 1114962917
LBN Legal business name Deharde, Angie Cook
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114962917 NPPES
Louisiana Other H2868 BLUECROSS BLUESHIELD

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