Individual
JONATHAN PAUL PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4038 PONTCHARTRAIN DR, SLIDELL, LA 70458-5136
(985) 643-2300
(985) 643-2307
Mailing address
4038 PONTCHARTRAIN DR, SLIDELL, LA 70458-5136
(985) 643-2300
(985) 643-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08108
LA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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