Individual
JOSHUA FREDIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
554 TUNICA DR W, MARKSVILLE, LA 71351-2627
(318) 240-7680
(318) 240-7681
Mailing address
2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8326
LA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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