Doctor Name: | DR. P.J. LANDERS |
NPI Number: | 1689670788 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T., M.T.C. |
License Number: | P.T.04633 |
Business Practice Address: | 1010 S Polk St Ste 2 Covington, LA - 704332474 |
Business Phone Number: | 9858099088 |
Business Fax Number: | 9858099270 |
Mailing Address: | 1010 S Polk St, Ste 2 COVINGTON |
State: | LA |
Postal Code: | 704332474 |
Phone Number: | 9858099088 |
Fax Number: | 9858099270 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 02/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P.T.04633 |
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 |