Organization Name: | LOUISIANA PHYSICAL THERAPY, LLC |
NPI Number: | 1073560504 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH G. MYERS (PRESIDENT / CEO) |
Mailing Address: | 4027 I 49 S Service Rd Opelousas |
State: | LA US |
Postal Code: | 705700757 |
Phone Number: | 3379484214 |
Fax Number: | 3379429979 |
NPI Enumeration Date: | 05/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |