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Jayla Bethany Cornett, PTA

Physical Therapy Assistant in Prairieville, LA. Individual provider (NPI-1).

NPI number1972095586
StatusActive
Last updated in NPPESMay 31, 2018

Details

NPI
1972095586
Entity type
Individual (NPI-1)
Name
Ms. Jayla Bethany Cornett
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2018
Last updated
May 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA09949LAYes

Practice location

17709 Old Jefferson Hwy Ste A
Prairieville, LA 70769-3977

Phone 225-677-8400 · Fax 225-977-8484

Mailing address

17709 Old Jefferson Hwy Ste A
Prairieville, LA 70769-3977

Phone 225-677-8400 · Fax 225-977-8484

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