Individual
JUSTIN CHARLES ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
E.T.,
Contact information
Practice address
2425 W CONGRESS ST, LAFAYETTE, LA 70506-5548
(337) 371-9312
Mailing address
2425 W CONGRESS ST, LAFAYETTE, LA 70506-5548
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
786746
LA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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