# CYPRESS PT SJP LLC

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

## Provider details

- **NPI number:** 1538678404
- **Authorized official:** CHRISTOPHER CANCIENNE PT (THERAPIST/OWNER)
- **Authorized official phone:** (985) 703-0944

## Contact information

- **Practice address:** 1729 DEROCHE CIR, GRAMERCY, LA 70052-3557
- **Practice address phone:** (225) 258-9480
- **Practice address fax:** (225) 258-9482
- **Mailing address:** 1729 DEROCHE CIR, GRAMERCY, LA 70052-3557
- **Mailing address phone:** (225) 258-9480
- **Mailing address fax:** (225) 258-9482

## 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:** 09/23/2017
- **Last updated:** 10/12/2021