Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENTRY MCCLARD PEARSON, PT, DPT
Active Sole ProprietorJENTRY MCCLARD PEARSON, PT, DPT is a Environmental Modification (OT) healthcare provider located in BOSSIER CITY, Louisiana. NPI 1790373975 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1790373975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2021 (5.4203262248272 yrs)
- Last Updated
- Jan 4, 2021
- License
-
10457R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
238 POYDRAS AVEBOSSIER CITY, LA, 711112550Browse LA providers · Browse ZIP 71111
- Phone
- 3185535094
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
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.