# STAR PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1679691240
- **Authorized official:** MR. MATT SLIMMING PT, C.S.C.S. (OWNER)
- **Authorized official phone:** (985) 893-2845

## Contact information

- **Practice address:** 340 FALCONER DR, COVINGTON, LA 70433
- **Practice address phone:** (985) 893-2845
- **Practice address fax:** (985) 893-2654
- **Mailing address:** 340 FALCONER DR, COVINGTON, LA 70433
- **Mailing address phone:** (985) 893-2845
- **Mailing address fax:** (985) 893-2654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 94033513 | LA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 06/21/2018