Geralyn Provenzano
Geralyn Provenzano is an Occupational Therapist in Covington, Louisiana. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
706 W 28th AveCovington, LA 70433-1466
Phone: (985) 898-3329
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1992425466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 2, 2022 |
| Last updated in NPPES | September 2, 2022 |
| Certification date | September 2, 2022 |
| Mailing address | 706 W 28th Ave, Covington, LA 70433-1466 |
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