Organization
KINETIC PHYSICAL THERAPY
Active
Other names
Title (Optional)
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JAIN DPT (PHYSICAL THERAPIST/OWNER)
(901) 229-3359
Entity
Organization
Contact information
Practice address
12150 LAKE ESTATES AVE, BATON ROUGE, LA 70810-7324
(901) 229-3359
Mailing address
12150 LAKE ESTATES AVE, BATON ROUGE, LA 70810-7324
(901) 229-3359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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