Jennifer Billodeaux, M.P.T.

NPI #1104044197 in Longview, Texas

Provider Information

NPI Number: 1104044197
Entity Type: Individual
Name: Jennifer Billodeaux, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 110 RUTHLYNN DR.
City: Longview
State: Texas
ZIP Code: 75605-5634
Phone: (903) 757-7731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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