Organization
AMITE PHYSICAL THERAPY DBA PROFESSIONAL PHYSICAL THERAPY
Active
Parent organization
AMITE PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMITE PHYSICAL THERAPY
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
332BC3200X
Customized Equipment (DME)
Primary
140
LA
Other
Enumeration date
01/03/2007
Last updated
01/29/2008
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