Individual
MRS. JESSICA CANALES MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
340 FALCONER DR, COVINGTON, LA 70433-8204
(985) 893-2845
Mailing address
2130 OLVEY DR, MANDEVILLE, LA 70448-1066
(985) 626-9938
(989) 626-9938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04697
LA
Other
Enumeration date
08/28/2008
Last updated
03/21/2010
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