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Organization
SPINE & SPORTS SPECIALTIES
Active
Organization
SPINE & SPORTS SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE GEORGE SMITH MSPT, ATC, CSCS (OWNER)
(225) 647-1515
Entity
Organization
Contact information
Practice address
2012 S. BURNSIDE AVE., SUITE B, GONZALES, LA 70737-4637
(225) 647-1515
(225) 647-5151
Mailing address
PO BOX 1991, GONZALES, LA 70707-1991
(225) 647-1515
(225) 647-5151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02870
LA
Other
Enumeration date
09/06/2006
Last updated
09/11/2007
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