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Organization
TRIFORM THERAPY LLC
Active
Organization
TRIFORM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA COONEY PT (OWNER)
(985) 966-5961
Entity
Organization
Contact information
Practice address
1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806-8280
(985) 966-5961
Mailing address
1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806-8280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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