Provider Demographics
NPI:1710112339
Name:PIERRE-LOUIS, MARIE JEANESTAL (AS RRT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:JEANESTAL
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:AS RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5040 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4042
Mailing Address - Country:US
Mailing Address - Phone:954-851-6200
Mailing Address - Fax:866-611-7560
Practice Address - Street 1:5040 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4042
Practice Address - Country:US
Practice Address - Phone:954-604-1150
Practice Address - Fax:954-979-8920
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 93612279G1100X, 2279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
No2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics