Dareth Lynn Waguespack
Dareth Lynn Waguespack is an Occupational Therapist in Gonzales, Louisiana. Licensed in Louisiana. Registered with an NPI since 2020.
- Licensed in
- LA
- In the registry since
- 2020
Practice location Address checks out
821 N Burnside AveGonzales, LA 70737-2835
Phone: (225) 939-7205
Fax: (225) 647-9503
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OTT.Z12146 (LA) |
|---|
Record details
| NPI number | 1295355642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 24, 2020 |
| Last updated in NPPES | April 24, 2020 |
| Certification date | April 24, 2020 |
| Mailing address | 13058 L Landry Rd, Gonzales, LA 70737-6001 |
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Mrs. Leah Waters Smith, OTR/L
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Angelle Waguespack, OT
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