JENA COURVILLE

GONZALES, LA
NPI1851758817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A9100)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200249)
Enumeration Date2016-01-21
Last Update Date2016-01-21
Business Address
-- JENA COURVILLE PTA, ATC
1227 LOUISIANA 30 E
GONZALES, LA 70737
Phone number: 225-647-2060
Mailing Address
-- JENA COURVILLE PTA, ATC
17110 FOUNTAINBLEAU DR
PRAIRIEVILLE, LA 70769-5385
Phone number: 337-277-3144
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