Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUE D DERR JR., MPT, LOTR
Active Sole ProprietorJACQUE D DERR JR., MPT, LOTR is a Physical Therapy Assistant healthcare provider located in WINNFIELD, Louisiana. NPI 1649596677 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WINNFIELD, LA
Registration Details
- NPI Number
- 1649596677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2010 (16.291537798335 yrs)
- Last Updated
- Apr 15, 2010
- Licenses
-
06898 (LA)OTT.Z12112 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 1ST STWINNFIELD, LA, 714832945Browse LA providers · Browse ZIP 71483
- Phone
- 3186480212
- Fax
- 3186483536
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Occupational Therapist
Other Physical Therapy Assistant Providers in WINNFIELD, LA
| Name | Credential | NPI |
|---|---|---|
| MISS ROSALIE CASCABEL BURAGA | RPT | 1871732487 |
| MICHAEL JAMES SANTOS | PT | 1780262212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.