| Jacque D Derr Jr, MPT, LOTR | |
|
915 1st St, Winnfield, LA 71483-2945 | |
| (318) 648-0212 | |
| (318) 648-3536 |
| Full Name | Jacque D Derr Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 915 1st St, Winnfield, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649596677 | NPI | - | NPPES |
| 00000 | Other | MEDICARE PENDING APPLICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 06898 (Louisiana) | Primary |
| 225X00000X | Occupational Therapist | OTT.Z12112 (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacque D Derr Jr, MPT, LOTR Po Box 856, Olla, LA 71465-0856 Ph: (318) 495-3312 | Jacque D Derr Jr, MPT, LOTR 915 1st St, Winnfield, LA 71483-2945 Ph: (318) 648-0212 |
Michael James Santos, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 W Main St, Winnfield, LA 71483 Phone: 318-727-9377 Fax: 318-727-8915 | |
Miss Rosalie Cascabel Buraga, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 1st Street, Therapy Dept. Winnfield Nursing And Rehab. Center, Winnfield, LA 71483 Phone: 318-628-3533 Fax: 318-628-7600 |