NPI 1093217457

Derek Mitchell Jambon

Practitioner Physical Therapy Assistant Covington, LA

Practice location

Address: 330 Falconer Dr STE D, Covington, LA 70433-8211
Phone: (985) 900-2305
Fax: (985) 900-2306

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A09506 (LA)

Other Physical Therapy Assistant providers in Louisiana →

Registry record

NPI: 1093217457
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2018
Record last updated: 1 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.