Individual
JAMESON JEAN GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
920 E AVENUE L, SILSBEE, TX 77656-5014
(409) 385-5571
Mailing address
4975 BAYSHORE DR, NAPLES, FL 34112-7358
(239) 248-7759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2153225
TX
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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