Individual
JACIE J MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5222 BRITTANY DR STE A, BATON ROUGE, LA 70808-9136
(225) 769-3898
Mailing address
530 SHADOWS LN, BATON ROUGE, LA 70806-6530
(225) 231-3806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11178
LA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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