Provider Demographics
NPI:1538583299
Name:LAPORTE, JEAN BAPTISTE (ATC, PT)
Entity type:Individual
Prefix:MR
First Name:JEAN BAPTISTE
Middle Name:
Last Name:LAPORTE
Suffix:
Gender:M
Credentials:ATC, PT
Other - Prefix:
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Mailing Address - Street 1:800 S MINT ST
Mailing Address - Street 2:CAROLINA PANTHERS
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-1518
Mailing Address - Country:US
Mailing Address - Phone:704-358-7563
Mailing Address - Fax:
Practice Address - Street 1:800 S MINT ST
Practice Address - Street 2:CAROLINA PANTHERS
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-1518
Practice Address - Country:US
Practice Address - Phone:704-358-7563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer