Individual
JARED TRENT LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2100 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 310-5116
Mailing address
PO BOX 2188, LAKE CHARLES, LA 70602-2188
(337) 494-7546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
07/16/2019
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