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Individual

MR. JAMIE GEORGE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT, ATC, CSCS

Contact information

Practice address
2012 S. BURNSIDE AVE., SUITE B, GONZALES, LA 70737-4637
(225) 647-1515
(225) 647-5151
Mailing address
PO BOX 1991, GONZALES, LA 70707-1991
(225) 647-1515
(225) 647-5151

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02870
LA

Other

Enumeration date
06/27/2006
Last updated
09/10/2007
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