Individual
JENTRY MCCLARD PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
238 POYDRAS AVE, BOSSIER CITY, LA 71111-2550
(318) 553-5094
Mailing address
238 POYDRAS AVE, BOSSIER CITY, LA 71111-2550
(318) 553-5094
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
10457R
LA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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