Individual
JOSHUA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC. LAT
Contact information
Practice address
700 E MCNEESE ST, LAKE CHARLES, LA 70609-7677
(337) 562-4695
Mailing address
BOX 92735, LAKE CHARLES, LA 70609-7677
(337) 475-5219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
320097
LA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
06/14/2015
Last updated
06/14/2023
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