Individual
JAMIE DANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
146 EAST 28TH ST, CUT OFF, LA 70345
(985) 693-8677
(985) 693-8126
Mailing address
140 E 114TH ST, GALLIANO, LA 70354-4122
(985) 693-8677
(985) 693-8126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7146
LA
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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