# DUTCH PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003917550
- **Authorized official:** MRS. MIRJAM MAASSEN VEETERS P.T. (OWNER)
- **Authorized official phone:** (225) 927-3000

## Contact information

- **Practice address:** 5627 BANKERS AVE., BATON ROUGE, LA 70808
- **Practice address phone:** (225) 927-3000
- **Practice address fax:** (225) 927-4183
- **Mailing address:** 5627 BANKERS AVE., BATON ROUGE, LA 70808
- **Mailing address phone:** (225) 927-3000
- **Mailing address fax:** (225) 927-4183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01436F | LA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 79557 | BCBS OF LOUISIANA NO. | LA |