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Jennifer Billodeaux, M.P.T.

Physical Therapist in Longview, TX. Individual provider (NPI-1).

NPI number1104044197
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104044197
Entity type
Individual (NPI-1)
Name
Jennifer Billodeaux
Credential
M.P.T.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1142768TXYes

Practice location

110 Ruthlynn Dr.
Longview, TX 75605-5634

Phone 903-757-7731 · Fax 903-757-3756

Mailing address

316 Bridgers Hill
Longview, TX 75604

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