Individual
MRS. JENNIFER F PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2729 LEE DR, PIERRE PART, LA 70339
(985) 252-9396
(985) 252-9396
Mailing address
PO BOX 355, PIERRE PART, LA 70339
(985) 252-9396
(985) 252-9396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00280
LA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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