Individual
MRS. JOY BIRDWELL PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1219 CHURCH ST, ZACHARY, LA 70791-2347
(225) 658-7751
(225) 658-7753
Mailing address
1219 CHURCH ST, ZACHARY, LA 70791-2347
(225) 658-7751
(225) 658-7753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04452
LA
Other
Enumeration date
04/12/2012
Last updated
02/03/2014
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