Individual
MR. JOHN R ROY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
128 E BUTCHER SWITCH RD, LAFAYETTE, LA 70507-3528
(337) 233-8080
Mailing address
1136 EARLENE DR, BREAUX BRIDGE, LA 70517-6331
(337) 332-0836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00061
LA
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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