Individual provider · NPI-1

Cullen Buisson

Occupational Therapist · Lafayette, LA

NPI number1477858793
StatusActive
Last updated in NPPESJan 18, 2011

Details

NPI
1477858793
Entity type
Individual (NPI-1)
Name
Cullen Buisson
Sex
Male
Sole proprietor
No
Enumeration date
Jan 18, 2011
Last updated
Jan 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOTT.200336LAYes

Practice location

709 Kaliste Saloom Rd
Lafayette, LA 70508-4207

Phone 337-234-7018

Mailing address

709 Kaliste Saloom Rd
Lafayette, LA 70508-4207

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