JEANNE WILSON

LAKE CHARLES, LA
NPI1750986816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A6802)
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
JEANNE WILSON PTA
4451 NELSON RD
LAKE CHARLES, LA 70605-4136
Phone number: 337-564-5027
Mailing Address
JEANNE WILSON PTA
PO BOX 849
JENNINGS, LA 70546-0849
Phone number: 337-824-8287
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