Individual
MRS. AMY MILLER DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2002 JOHNSON ST, STE. 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Mailing address
2784 EUNICE IOTA HWY, IOTA, LA 70543-3928
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07577
LA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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