Most Relevant Information
Provider Data
| NPI Number: | 1003597758 |
| Provider Name: | CHARNE ANNETTE THOMAS CTRS |
| Entity Type: | Individual |
| Taxonomy Code: | 225800000X |
| Specialty: | Recreation Therapist |
| License Number: | 85837 |
Most Important Dates
| Enumeration Date: | 07/26/2023 |
| Last Updated: | 07/26/2023 |
Provider Practice Location
15782 PROFESSIONAL PLZ
HAMMOND
LA
704031451
Practice Location Phone/Fax
| Phone: | 9852771415 |
| Fax: |
Provider Mailing Location
5527 CONGRESS DR
NEW ORLEANS
LA
701262403
Provider Mailing Phone/Fax
| Phone: | 2252491947 |
| Fax: |