Individual
JEROME VENTRESS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1555 COTTONDALE DR STE 8, BATON ROUGE, LA 70815-4162
(225) 205-1548
Mailing address
744 N ALLYSON DR, BATON ROUGE, LA 70815-4602
(225) 205-1548
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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