# PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.

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

## Provider details

- **NPI number:** 1538129408
- **Authorized official:** MRS. KRISTINE ANNE BLACKWELL (OFFICE MANAGER)
- **Authorized official phone:** (337) 232-7080

## Contact information

- **Practice address:** 1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
- **Practice address phone:** (337) 232-7080
- **Practice address fax:** (337) 237-2517
- **Mailing address:** 1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
- **Mailing address phone:** (337) 232-7080
- **Mailing address fax:** (337) 237-2517

## Taxonomy

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