Individual
MISS ALICIA G PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2002 JOHNSON ST, STE. 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Mailing address
2002 JOHNSON ST, STE. 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07666
LA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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