JERRY W PAIGE

DONALDSONVILLE, LA
NPI1831186691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center Physical Therapy
(Licence: LA  00457)
Additional Taxonomies225100000X Physical Therapist
(Licence: LA  00457)
Enumeration Date2005-10-05
Last Update Date2008-06-16
Business Address
MR. JERRY W PAIGE BS
204 CLINIC DR
DONALDSONVILLE, LA 70346
Phone number: 225-473-4719
Mailing Address
MR. JERRY W PAIGE BS
204 CLINIC DR
DONALDSONVILLE, LA 70346
Phone number: 225-473-4719
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