NPI 1619353406

Stacie Nwabueze, PHD

Practitioner Rehabilitation Practitioner Jackson, LA

Practice location

Address: 3050 Charles Dr, Jackson, LA 70748-6135
Phone: (225) 634-3517
Fax: (225) 634-5057

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence LRC-790 (LA)

Other Rehabilitation Practitioner providers in Louisiana →

Registry record

NPI: 1619353406
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2015
Record last updated: 4 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.