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
Phone: (225) 654-8208
Fax: (225) 654-4642
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTT.200306 | Louisiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 07557 | Louisiana |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255565545 | NPPES |
Louisiana | Other | 07557 | PHYSICAL THERAPY LICENSE |
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