Louisiana
Board of Licensing
THOMAS WALTER DEREK
Medical
License number
OTA.Z20245
Date expires
03/31/2015
Class
Medical
Status
Active
Address
Willow Ridge Nursing & Rehab / Tara Therapy, 660 Factory Outlet Drive, Arcadia, LA 71001
louisianalicensing.com
ID 21986160
LAST UPDATED 2024-03-13 09:38:47 UTC
LAST UPDATED 2024-03-13 09:38:47 UTC