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Organization
BAYOU PHYSICAL THERAPY, LLC
Active
Organization
BAYOU PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SPOONER DPT (OWNER)
(337) 602-8614
Entity
Organization
Contact information
Practice address
4112 LAKE ST STE 600, LAKE CHARLES, LA 70605-4532
(337) 602-8614
(225) 282-2890
Mailing address
4112 LAKE ST STE 600, LAKE CHARLES, LA 70605-4532
(337) 602-8614
(225) 282-2890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2017
Last updated
06/03/2024
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