Provider Demographics
NPI:1407452907
Name:FERRARIS, MARIA ANGELES (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANGELES
Last Name:FERRARIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 W AUGUSTA LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5787
Mailing Address - Country:US
Mailing Address - Phone:985-502-7108
Mailing Address - Fax:
Practice Address - Street 1:113 W AUGUSTA LN
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5787
Practice Address - Country:US
Practice Address - Phone:985-502-7108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist