# LANDERS PHYSICAL THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1669524195
- **Authorized official:** DR. P.J. LANDERS DPT, MTC, OCS (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (985) 809-9088

## Contact information

- **Practice address:** 1010 S POLK ST, SUITE 2, COVINGTON, LA 70433-2474
- **Practice address phone:** (985) 809-9088
- **Practice address fax:** (985) 809-9270
- **Mailing address:** 1010 S POLK ST, SUITE 2, COVINGTON, LA 70433-2474
- **Mailing address phone:** (985) 809-9088
- **Mailing address fax:** (985) 809-9270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT04633 | LA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 10/12/2007