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Individual

JENNIFER H DOERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
204 E SAINT PETER ST, CARENCRO, LA 70520-4009
(337) 896-6686
(337) 565-6003
Mailing address
2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08554
PT LICENSE
LA
Enumeration date
09/10/2013
Last updated
05/17/2016
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