# THERAPY CENTER OF JEFFERSON DAVIS PARISH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508971045
- **Authorized official:** MRS. ELISHA N DUHON (CO-OFFICE MANAGER)
- **Authorized official phone:** (337) 824-4547

## Contact information

- **Practice address:** 2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3646
- **Practice address phone:** (337) 824-4547
- **Practice address fax:** (337) 824-4548
- **Mailing address:** 2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3646
- **Mailing address phone:** (337) 824-4547
- **Mailing address fax:** (337) 824-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | LA | — |
| 225100000X | Physical Therapist | — | LA | Yes |
| 225200000X | Physical Therapy Assistant | — | LA | — |
| 2255A2300X | Athletic Trainer | — | LA | — |
| 225X00000X | Occupational Therapist | — | LA | — |
| 235Z00000X | Speech-Language Pathologist | — | LA | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 09/03/2009