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Organization
NORTHEAST LOUISIANA PHYSICAL THERAPY, LLC
Active
Organization
NORTHEAST LOUISIANA PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JASON RILEY PT (PHYSICAL THERAPIST)
(318) 728-3665
Entity
Organization
Contact information
Practice address
161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-3665
(318) 728-3625
Mailing address
161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-3665
(318) 728-3625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9390
BCBS PROVIDER NUMBER
LA
Enumeration date
05/11/2006
Last updated
09/11/2025
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