Doctor Name: | WILLIAM DAVID PRESTRIDGE |
NPI Number: | 1912260480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 08124 |
Business Practice Address: | 1135 Expressway Dr Suite 100 Pineville, LA - 713606653 |
Business Phone Number: | 3184876525 |
Business Fax Number: | 3184876527 |
Mailing Address: | Po Box 3486, PINEVILLE |
State: | LA |
Postal Code: | 713613486 |
Phone Number: | 3184876525 |
Fax Number: | 3184876527 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 08124 |
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 |