Organization
WINNSBORO PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN C GUILBEAU PT (OWNER)
(318) 435-3882
Entity
Organization
Contact information
Practice address
710 PRAIRIE ST, WINNSBORO, LA 71295-2630
(318) 435-3882
(318) 435-4306
Mailing address
PO BOX 432, WINNSBORO, LA 71295-0432
(318) 435-3882
(318) 435-4306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
LA
225100000X
Physical Therapist
Primary
—
LA
225200000X
Physical Therapy Assistant
—
LA
225X00000X
Occupational Therapist
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51714
BLUE CROSS
LA
Enumeration date
06/03/2006
Last updated
12/14/2022
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