# MALCOLM MICHAEL DUPLANTIS JR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285831271
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 04755 | LA | — |
| 225100000X | Physical Therapist | 04755 | LA | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4B693C811 | MEDICARE GROUP MEMBER PTAN | LA |
| 01 | — | 5C811 | MEDICARD GROUP PTAN | LA |
| 01 | — | 721460193 | TAX ID PT AND HAND CENTER | LA |