Organization
OSTEOPRACTIC PHYSICAL THERAPY OF SOUTHWEST LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HEARNE PT (OWNER)
(936) 465-6282
Entity
Organization
Contact information
Practice address
417 N EIGHTH ST, KINDER, LA 70648
(936) 465-6282
Mailing address
417 N EIGHTH ST, KINDER, LA 70648
(936) 465-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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