# IN TOTO PHYSICAL THERAPY AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1336606011
- **Authorized official:** DR. MELANIE LANE DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (318) 469-3285

## Contact information

- **Practice address:** 333 TEXAS ST STE 1300, SHREVEPORT, LA 71101-3783
- **Practice address phone:** (318) 469-3285
- **Mailing address:** 333 TEXAS ST STE 1300, SHREVEPORT, LA 71101-3783
- **Mailing address phone:** (318) 469-3285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 05/13/2019