Organization Name: | SOUTHERN ORTHOPEDICS & SPORTS THERAPY INC |
NPI Number: | 1104048321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KINNARD J MARK (OFFICE MANAGER) |
Mailing Address: | 1014 Belanger Street Houma |
State: | LA US |
Postal Code: | 703604412 |
Phone Number: | 9858794388 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03212 |
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 |