Individual
JAN E PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
414 AVENUE B, BOGALUSA, LA 70427-3702
(985) 732-1651
(985) 241-5400
Mailing address
414 AVENUE B, BOGALUSA, LA 70427-3702
(857) 321-6519
(985) 241-5400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10153R
LA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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