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Individual

MR. MORTON JOSEPH AIME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, OCS, GCS

Contact information

Practice address
17338 LAUREN DR, PRAIRIEVILLE, LA 70769-4636
(225) 673-5841
Mailing address
17338 LAUREN DR, PRAIRIEVILLE, LA 70769-4636
(225) 673-5841

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02671
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232730
WELLCARE
01
7892389
AETNA
Enumeration date
09/27/2006
Last updated
12/22/2008
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