Individual
MRS. JODI NICOLE BRIDGES LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 W JUDGE PEREZ DR, CHALMETTE, LA 70043-4902
(504) 906-3739
Mailing address
20 JENNIFER LN, SLIDELL, LA 70458-4213
(504) 906-3739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06834R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 06834R
PHYSICAL THERAPY LICENSE
LA
Enumeration date
12/29/2006
Last updated
09/17/2007
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