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Organization
SUPERIOR SPINE AND SPORTS PHYSICAL THERAPY INC
Active
Organization
SUPERIOR SPINE AND SPORTS PHYSICAL THERAPY INC
Active
Other names
S3PT
Organization subpart
No
Provider details
NPI number
Authorized official
KOURTNEY ELLIS DPT (CO-OWNER)
(337) 513-7107
Entity
Organization
Contact information
Practice address
5750 LAKE STREET, SUITE 100, LAKE CHARLES, LA 70605
(337) 513-7107
Mailing address
5750 LAKE STREET, SUITE 100, LAKE CHARLES, LA 70605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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