Individual
JENNIFER BAIAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15321 RED OAK DRIVE, PONCHATOULA, LA 70454
(504) 388-7323
Mailing address
15321 RED OAK DRIVE, PONCHATOULA, LA 70454
(504) 388-7323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07585
LA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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