Individual
RICCI JEAN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2421 FENELON ST., CHALMETTE, LA 70043
(504) 214-8956
Mailing address
2421 FENELON ST, CHALMETTE, LA 70043-4919
(504) 214-8956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7160
LA
Other
Enumeration date
02/22/2018
Last updated
03/17/2018
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