Individual
JESSICA KARNER GUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16224 WOODVILLE DR, PRAIRIEVILLE, LA 70769-3061
(225) 252-1545
Mailing address
16224 WOODVILLE DR, PRAIRIEVILLE, LA 70769-3061
(225) 252-1545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
08895R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371932
—
LA
Enumeration date
06/29/2010
Last updated
02/01/2015
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