Individual
MS. BRITTANY M JELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 BUCKNER ST, SUITE C 200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Mailing address
1800 BUCKNER ST, SUITE C 200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7232
LA
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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