Organization
AMITE PHYSICAL THERAPY
Active
Organization
AMITE PHYSICAL THERAPY
Active
Other names
Professional Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. MARVIN BRUCE NEAL JR. P.T. (PRESIDENT)
(985) 748-7878
Entity
Organization
Contact information
Practice address
216 N 2ND ST, AMITE, LA 70422-2408
(985) 748-7878
(985) 748-2837
Mailing address
PO BOX 398, AMITE, LA 70422-0398
(985) 748-7878
(985) 748-2837
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
LA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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