Individual
MR. JEREMY JEDD LAFLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
401 JACK MILLER RD, VILLE PLATTE, LA 70586-5635
(337) 360-9711
Mailing address
401 JACK MILLER RD, VILLE PLATTE, LA 70586-5635
(337) 360-9711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06888
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455865
—
LA
Enumeration date
08/07/2007
Last updated
08/07/2007
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