Provider Demographics
NPI:1407164866
Name:DESSENS, CAROLINE E (DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:E
Last Name:DESSENS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 JOHN ESKEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303
Mailing Address - Country:US
Mailing Address - Phone:318-704-2232
Mailing Address - Fax:318-704-2233
Practice Address - Street 1:5405 JOHN ESKEW DRIVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303
Practice Address - Country:US
Practice Address - Phone:318-704-2232
Practice Address - Fax:318-704-2233
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist