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NPI Code Detail

MEDICARE: MS. JEANNE RICHARD DANIEL PT

MEDICARE:  MS. JEANNE RICHARD DANIEL  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician005424989LA

General Provider Information

NPI Number : 1245185362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANNE RICHARD DANIEL PT
Provider Business Mailing Address
First Line : 1160 HOSPITAL RD STE 100
Second Line :
City : NEW ROADS
State : LA
Zip : 70760-2633
Country : US
Telephone Number : 225-638-4455
Fax Number : 225-208-6173
Provider Business Practice Location Address
First Line : 1160 HOSPITAL RD STE 100
Second Line :
City : NEW ROADS
State : LA
Zip : 70760-2633
Country : US
Telephone Number : 225-638-4455
Fax Number : 225-208-6173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ MS. JEANNE RICHARD DANIEL PT” Practice Location

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