Derek Mitchell Jambon
Derek Mitchell Jambon is a Physical Therapy Assistant in Covington, Louisiana. Licensed in Louisiana. Registered with an NPI since 2018.
- Licensed in
- LA
- In the registry since
- 2018
Practice location Address checks out
330 Falconer Dr Ste DCovington, LA 70433-8211
Phone: (985) 900-2305
Fax: (985) 900-2306
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A09506 (LA) |
|---|
Record details
| NPI number | 1093217457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2018 |
| Last updated in NPPES | March 1, 2018 |
| Mailing address | 330 Falconer Dr Ste D, Covington, LA 70433-8211 |
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