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Organization
SPECIALTY THERAPY SERVICES, LLC
Active
Organization
SPECIALTY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP NOEL MD (OWNER)
(337) 504-4133
Entity
Organization
Contact information
Practice address
5000 AMBASSADOR CAFFERY PARKWAY, BUILDING 3 SUITE B, LAFAYETTE, LA 70508
(337) 504-4133
(337) 504-2791
Mailing address
5000 AMBASSADOR CAFFERY PKWY, BUILDING 3 SUITE B, LAFAYETTE, LA 70508-6984
(337) 504-4133
(337) 504-2791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10772
LA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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