Individual
MRS. JEMINA HAYDEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
67070 DOLAN ST, MANDEVILLE, LA 70471-6919
(917) 628-7501
Mailing address
67070 DOLAN ST, MANDEVILLE, LA 70471-6919
(917) 628-7501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027361
NY
225100000X
Physical Therapist
Primary
08396R
LA
Other
Enumeration date
06/15/2006
Last updated
12/01/2014
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