IndividualActive
Derek Jambon
NPI 1093217457 · Physical Therapy Assistant · Covington, LA
Provider details
- NPI number
- 1093217457
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- A09506 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
330 Falconer Dr Ste D
Covington, LA 70433-8211
Phone: (985) 900-2305
Fax: (985) 900-2306
Approximate (ZIP-level) locationGet directions
Mailing address
330 Falconer Dr Ste D
Covington, LA 70433-8211
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2018-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.