Jay Gould, PT
Specialist in Belle Chasse, LA. Individual provider (NPI-1).
NPI number1437475845
StatusActive
Last updated in NPPESApr 9, 2010
Details
- NPI
- 1437475845
- Entity type
- Individual (NPI-1)
- Name
- Jay Gould
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2010
- Last updated
- Apr 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 00998 | LA | Yes |
Practice location
144 Rue AcadianBelle Chasse, LA 70037-4140
Phone 504-812-6986
Mailing address
144 Rue AcadianBelle Chasse, LA 70037-4140
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