| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1184976938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYNE F. POOL (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 1625 Highway 51 Suite C Ponchatoula |
| State: | LA US |
| Postal Code: | 704546593 |
| Phone Number: | 9853861057 |
| Fax Number: | 9853700138 |
| NPI Enumeration Date: | 10/03/2012 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |