Organization
JACKSON PARISH THERAPY CENTER LLC
Active
Other names
Fyzical Therapy & Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY V YARBOROUGH PT, DPT (OWNER)
(318) 224-8994
Entity
Organization
Contact information
Practice address
1701 COMMERCE ST, RUSTON, LA 71270-6659
(318) 224-8994
(318) 224-7094
Mailing address
PO BOX 2846, RUSTON, LA 71273-2846
(318) 224-8994
(318) 224-7094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
03825R
LA
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/18/2005
Last updated
12/28/2022
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