Laura Gilliam Jaudon, DPT
Physical Therapist in Ridgeland, MS. Individual provider (NPI-1).
NPI number1891069423
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1891069423
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura Gilliam Jaudon
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT5032 | MS | Yes |
Other names
- Laura Kathryn Gilliam (Former Name)
Practice location
711 Avignon DrRidgeland, MS 39157-5120
Phone 601-605-6777 · Fax 601-607-1415
Mailing address
711 Avignon DrRidgeland, MS 39157-5120
Phone 601-605-6777 · Fax 601-607-1415
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All 129 Physical Therapist providers in Ridgeland · All 1,643 providers in Ridgeland
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