# SAINT LANDRY PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1114093507
- **Authorized official:** JENNIFER JANNISE (OFFICE MANAGER)
- **Authorized official phone:** (337) 594-0038

## Contact information

- **Practice address:** 2342 LARKSPUR LN, OPELOUSAS, LA 70570-8674
- **Practice address phone:** (337) 594-0038
- **Practice address fax:** (337) 594-0103
- **Mailing address:** 2342 LARKSPUR LN, OPELOUSAS, LA 70570-8674
- **Mailing address phone:** (337) 594-0038
- **Mailing address fax:** (337) 594-0103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00766 | LA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/30/2007