JOHN WILLIAM SULLIVAN CHETTA

COVINGTON, LA
NPI1912108887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: LA  8448)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- JOHN WILLIAM SULLIVAN CHETTA L.M.T
311 W 21ST AVE
COVINGTON, LA 70433-3153
Phone number: 985-898-2707
Mailing Address
-- JOHN WILLIAM SULLIVAN CHETTA L.M.T
108 DEVON DR
MANDEVILLE, LA 70448-3406
Phone number: 985-966-9651
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