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Organization
DUTCH PHYSICAL THERAPY, INC.
Active
Organization
DUTCH PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRJAM MAASSEN VEETERS P.T. (OWNER)
(225) 927-3000
Entity
Organization
Contact information
Practice address
5627 BANKERS AVE., BATON ROUGE, LA 70808
(225) 927-3000
(225) 927-4183
Mailing address
5627 BANKERS AVE., BATON ROUGE, LA 70808
(225) 927-3000
(225) 927-4183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01436F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79557
BCBS OF LOUISIANA NO.
LA
Enumeration date
09/26/2006
Last updated
08/18/2010
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