Individual
JARED CHRISTOPHER AMIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4080 NELSON RD STE 500, LAKE CHARLES, LA 70605-2440
(337) 494-7546
Mailing address
4080 NELSON RD STE 500, LAKE CHARLES, LA 70605-2440
(337) 494-7546
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10210
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10210
LOUISIANA PT BOARD
LA
Enumeration date
02/12/2019
Last updated
02/12/2019
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