Individual
JEFFREY C PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2335 CHURCH ST, STE G, ZACHARY, LA 70791
(225) 654-8208
(225) 654-4642
Mailing address
2335 CHURCH ST, STE G, ZACHARY, LA 70791
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023299
—
LA
01
—
3A072C943
MEDICARE
LA
01
—
P00408839
RR MEDICARE
LA
Enumeration date
11/29/2006
Last updated
04/20/2008
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