Individual
MR. SHAUN LAMAR TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4015 JEFFERSON HWY, JEFFERSON, LA 70121-1629
(504) 837-6447
(504) 833-8088
Mailing address
4454 VENUS ST, NEW ORLEANS, LA 70122-4906
(504) 288-5161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03707
LA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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