Jeremy Stillwell, PT

NPI #1174650659 in Lake Charles, Louisiana

Provider Information

NPI Number: 1174650659
Entity Type: Individual
Name: Jeremy Stillwell, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 28, 2007
Last Updated: Sep 28, 2010

Practice Location

Address: 217 SAM HOUSTON JONES PKWY
Address 2: STE 103
City: Lake Charles
State: Louisiana
ZIP Code: 70611-5644
Phone: (337) 217-0997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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