Deranger, Mary K

Deranger, Mary K is an individual health care provider with primary practice located at 2335 Church St Ste G , Zachary LA 70791-2700. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Deranger, Mary K can be contacted via phone (225) 654-8208.

Contact Information

Primary practice address
2335 Church St Ste G Zachary LA 70791-2700
Fax: (225) 654-4642
Website:

Profile Details

NPI number 1255565545
LBN Legal business name Deranger, Mary K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated Jul 20th, 2021 - about 4 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 1255565545 NPPES
Louisiana Other 07557 PHYSICAL THERAPY LICENSE

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