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Organization
PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.
Active
Organization
PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE ANNE BLACKWELL (OFFICE MANAGER)
(337) 232-7080
Entity
Organization
Contact information
Practice address
1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 232-7080
(337) 237-2517
Mailing address
1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 232-7080
(337) 237-2517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/24/2006
Last updated
06/16/2010
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