GRACE BLACKWELDER

JEFFERSON, LA
NPI1326563594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2017-08-09
Last Update Date2018-07-16
Business Address
GRACE BLACKWELDER PTA
101 RIVER RD STE 112
JEFFERSON, LA 70121
Phone number: 504-828-7696
Mailing Address
GRACE BLACKWELDER PTA
101 RIVER RD STE 112
JEFFERSON, LA 70121-4226
Phone number: 504-828-7696