Doctor Name: | LOUIS G. PRIDGEON |
NPI Number: | 1205817897 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.P.T. |
License Number: | 43 |
Business Practice Address: | 1200 Neo Loop Suite A Grove, OK - 74344 |
Business Phone Number: | 9187876893 |
Business Fax Number: | 9187876815 |
Mailing Address: | Po Box 452327, GROVE |
State: | OK |
Postal Code: | 743452327 |
Phone Number: | 9187876893 |
Fax Number: | 9187876815 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 43 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |