Individual
MR. JEB S WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
206 REYNOLDS ST, SPRINGHILL, LA 71075-3444
(318) 539-4006
(318) 539-4008
Mailing address
206 REYNOLDS ST, SPRINGHILL, LA 71075-3444
(318) 539-4006
(318) 539-4008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00222R
LA
Other
Enumeration date
01/10/2006
Last updated
05/22/2015
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