Individual
JEREMIAH CHRISTOPHER SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
202 SOUTH AVE, SUITE C, VIVIAN, LA 71082-3220
(318) 375-5500
Mailing address
202 SOUTH AVE, SUITE C, VIVIAN, LA 71082-3220
(318) 375-5500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07555
LA
Other
Enumeration date
03/17/2010
Last updated
10/13/2014
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