Individual
MRS. JAMIE LAFLEUR FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
1187 HUCKLEBERRY LN, VILLE PLATTE, LA 70586-1934
(337) 831-1777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1553999
—
LA
Enumeration date
12/19/2012
Last updated
12/19/2012
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