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Individual

MR. IAN J PECOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441
Mailing address
PO BOX 1410, SCOTT, LA 70583-1410
(337) 703-3274
(337) 703-3271

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10876
LA
225100000X
Physical Therapist
Primary
10914
LA

Other

Enumeration date
05/19/2022
Last updated
05/19/2022
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