Individual
JOHN DELEAUMONT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
101 RIVER ROAD, 112, JEFFERSON, LA 70121
(504) 828-7696
Mailing address
101 RIVER ROAD, 112, JEFFERSON, LA 70121
(504) 828-7696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08811
LA
Other
Enumeration date
07/28/2014
Last updated
08/17/2014
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