# LEMOINE THERAPY SERVICES OF CENLA INC

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

## Provider details

- **NPI number:** 1336242767
- **Authorized official:** MR. SHANNON J LEMOINE PT (PRESIDENT)
- **Authorized official phone:** (318) 240-7680

## Contact information

- **Practice address:** 7406 HIGHWAY 1, SUITE 102, MANSURA, LA 71350-4204
- **Practice address phone:** (318) 240-7680
- **Practice address fax:** (318) 240-7681
- **Mailing address:** 2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3640
- **Mailing address phone:** (337) 824-4547
- **Mailing address fax:** (337) 824-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | LA | Yes |
| 225X00000X | Occupational Therapist | — | LA | — |
| 235Z00000X | Speech-Language Pathologist | — | LA | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 04/10/2017