Individual
MRS. JEANA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
612 HOLY TRINITY DR, COVINGTON, LA 70433-6229
(985) 643-5630
Mailing address
69317 ROWELL ST, MANDEVILLE, LA 70471-8039
(985) 249-8251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02712
LA
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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