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JENA COURVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, ATC

Contact information

Practice address
1227 LOUISIANA 30 E, GONZALES, LA 70737
(225) 647-2060
Mailing address
17110 FOUNTAINBLEAU DR, PRAIRIEVILLE, LA 70769-5385
(337) 277-3144

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A9100
LA
2255A2300X
Athletic Trainer
ATH.200249
LA

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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