# PEAK PERFORMANCE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1750774022
- **Authorized official:** MS. JOANNE CHASSAING (ADM ASST)
- **Authorized official phone:** (225) 295-8183

## Contact information

- **Practice address:** 11320 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809-4108
- **Practice address phone:** (225) 295-8183
- **Practice address fax:** (225) 295-8236
- **Mailing address:** 11320 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809-4108
- **Mailing address phone:** (225) 295-8183
- **Mailing address fax:** (225) 295-8236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 09031R | LA | Yes |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 03/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 721315267 | PHYSICAL THERAPY | LA |