Individual
AUSTEN CHASE DWIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
304 E BOSTON ST, COVINGTON, LA 70433-2802
(985) 630-4489
Mailing address
304 E BOSTON ST, COVINGTON, LA 70433-2802
(985) 630-4489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07811
LA
Other
Enumeration date
11/05/2010
Last updated
04/10/2020
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