# PAC PT LLC

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

## Provider details

- **NPI number:** 1619391166
- **Authorized official:** DAVID MCWILLIAMS (PT)
- **Authorized official phone:** (985) 626-3641

## Contact information

- **Practice address:** 1170 MEADOWBROOK BLVD, MANDEVILLE, LA 70471-7400
- **Practice address phone:** (985) 626-3641
- **Practice address fax:** (985) 626-3792
- **Mailing address:** 1170 MEADOWBROOK BLVD, MANDEVILLE, LA 70471-7400
- **Mailing address phone:** (985) 626-3641
- **Mailing address fax:** (985) 626-3792

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 09/23/2024