MISS Alicia G Pruitt, PT, DPT

NPI #1073843595 in Jennings, Louisiana

Provider Information

NPI Number: 1073843595
Entity Type: Individual
Name: MISS Alicia G Pruitt, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 2002 JOHNSON ST
Address 2: STE. 100
City: Jennings
State: Louisiana
ZIP Code: 70546-3640
Phone: (337) 824-4547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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