Individual
JASON DELATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2100 INDUSTRIAL BLVD, HOUMA, LA 70363-7045
(985) 876-5322
(985) 876-5387
Mailing address
125 COMMANCHE CT, THIBODAUX, LA 70301-7007
(985) 876-5322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7286
LA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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