Individual
MR. CLAYBORNE MARK LANDRENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
1477 W LASALLE ST, VILLE PLATTE, LA 70586-2974
(337) 363-2600
(337) 363-2599
Mailing address
1477 W LASALLE ST, VILLE PLATTE, LA 70586-2974
(337) 363-2600
(337) 363-2599
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
07831
LA
Other
Enumeration date
07/09/2010
Last updated
11/04/2013
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