Organization Name: | MOSS BLUFF PHYSICAL THERAPY |
NPI Number: | 1023117868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON PAUL ZERINGUE (OWNER/ THERAPIST) |
Mailing Address: | 867 Sam Houston Jones Pkwy Lake Charles |
State: | LA US |
Postal Code: | 706115504 |
Phone Number: | 3378552600 |
Fax Number: | 3378550015 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 04436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |