Individual
MR. JEROEN F KLEINE STAARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3939 HOUMA BLVD STE 21, METAIRIE, LA 70006-2921
(504) 885-6464
(504) 247-0562
Mailing address
3939 HOUMA BLVD STE 21, METAIRIE, LA 70006-2921
(504) 885-6464
(504) 247-0562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02357F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349908400
US DEPT OF LABOR NUMBER
LA
Enumeration date
04/12/2007
Last updated
11/08/2019
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