Individual
JACOB RANDALL PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 769-1090
(225) 766-5514
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1346909
TX
Other
Enumeration date
06/17/2021
Last updated
03/05/2024
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