Organization Name: | GUIDRY PHYSICAL THERAPY SERVICES |
NPI Number: | 1407126733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN PAUL GUIDRY (MEMBER) |
Mailing Address: | 61700 Highway 434 Unit D Lacombe |
State: | LA US |
Postal Code: | 704453256 |
Phone Number: | 3372743639 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 07689R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |