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Individual

TODD TRUITT JANNEY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
59295 RIVER WEST DR, STE H, PLAQUEMINE, LA 70764-6596
(225) 687-2066
(225) 687-2067
Mailing address
PO BOX 408, PLAQUEMINE, LA 70765-0408
(225) 687-2066
(225) 687-2067

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01442
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1135321
LA
Enumeration date
10/03/2006
Last updated
03/06/2015
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