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Organization
ST. JOHN PHYSICAL THERAPY, LLC
Active
Organization
ST. JOHN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWARD THOMAS NORSWORTHY PHYSICAL THERAPIST (PHYSICAL THERAPIST)
(985) 652-9515
Entity
Organization
Contact information
Practice address
504 RUE DE SANTE, LA PLACE, LA 70068-5418
(985) 652-9515
(985) 652-8675
Mailing address
504 RUE DE SANTE, LA PLACE, LA 70068-5418
(985) 652-9515
(985) 652-8675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
05/09/2007
Last updated
04/21/2022
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