STEPHEN JACKSON

PRAIRIEVILLE, LA
NPI1275918401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09089)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
Mr. STEPHEN JACKSON PT, DPT
36501 MISSION ST SUITE A
PRAIRIEVILLE, LA 70769-3289
Phone number: 225-744-3631
Mailing Address
Mr. STEPHEN JACKSON PT, DPT
36501 MISSION ST SUITE A
PRAIRIEVILLE, LA 70769-3289
Phone number: 225-744-3631
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