Doctor Name: | MR. DAVID L VIDRINE |
NPI Number: | 1952471252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P. T. |
License Number: | 01613 |
Business Practice Address: | 1477 W Lasalle St Ville Platte, LA - 705862974 |
Business Phone Number: | 3373632600 |
Business Fax Number: | 3373632599 |
Mailing Address: | 1477 W Lasalle St, VILLE PLATTE |
State: | LA |
Postal Code: | 705862974 |
Phone Number: | 3373632600 |
Fax Number: | 3373632599 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01613 |
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 |