Organization
PHYSICAL THERAPY ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTELLE VIOLA AARON MSPT (DIRECTOR)
(337) 262-0600
Entity
Organization
Contact information
Practice address
805 W CONGRESS ST, LAFAYETTE, LA 70501-5719
(337) 262-0600
(337) 262-0601
Mailing address
805 W CONGRESS ST, LAFAYETTE, LA 70501-5719
(337) 262-0600
(337) 262-0601
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
03789
LA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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