# DICHARRY PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kinetix Orthopedic & Sports Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912417866
- **Authorized official:** MS. DAPHNE Z. DICHARRY DPT (PRESIDENT)
- **Authorized official phone:** (225) 869-9632

## Contact information

- **Practice address:** 1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
- **Practice address phone:** (225) 869-9632
- **Practice address fax:** (225) 869-9633
- **Mailing address:** 1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
- **Mailing address phone:** (225) 869-9632
- **Mailing address fax:** (225) 869-9633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017