Individual
JENNIFER NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 FARMERVILLE HWY, RUSTON, LA 71270-3007
(318) 255-9601
Mailing address
PO BOX 1306, RUSTON, LA 71273-1306
(318) 255-9601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7365
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169234
—
LA
Enumeration date
07/20/2009
Last updated
07/20/2009
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