Jared Trent Landry, DPT | |
2100 Oak Park Blvd, Lake Charles, LA 70601-7864 | |
(337) 310-5116 | |
Not Available |
Full Name | Jared Trent Landry |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 2100 Oak Park Blvd, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013394907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Superior Spine And Sports Physical Therapy Inc | 2668838244 | 2 |
Provider Name | Superior Spine And Sports Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619681772 PECOS PAC ID: 2668838244 Enrollment ID: O20230524002128 |
Mailing Address | Practice Location Address |
---|---|
Jared Trent Landry, DPT Po Box 2188, Lake Charles, LA 70602-2188 Ph: (337) 494-7546 | Jared Trent Landry, DPT 2100 Oak Park Blvd, Lake Charles, LA 70601-7864 Ph: (337) 310-5116 |
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