Nicolas Bereciartua
Physical Therapist in Jefferson, LA. Individual provider (NPI-1).
NPI number1043036601
StatusActive
Last updated in NPPESNov 28, 2024
Details
- NPI
- 1043036601
- Entity type
- Individual (NPI-1)
- Name
- Nicolas Bereciartua
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2024
- Certification date
- Nov 19, 2024
- Last updated
- Nov 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
101 River Rd Ste 112Jefferson, LA 70121-4226
Phone 504-828-7696
Mailing address
101 River Rd Ste 112Jefferson, LA 70121-4226
Phone 504-828-7696
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All 24 Physical Therapist providers in Jefferson · All 754 providers in Jefferson
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