Individual
JESSICA MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T/
Contact information
Practice address
1749 BEAR KNOLL DR, QUITMAN, LA 71268-4507
(318) 623-2461
Mailing address
1749 BEAR KNOLL DR, QUITMAN, LA 71268-4507
(318) 623-2461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003244
WV
225100000X
Physical Therapist
Primary
PT023368
PA
Other
Enumeration date
05/22/2014
Last updated
01/07/2019
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