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Organization

IMAGE PHYSICAL THERAPY CENTER LLC

Active
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Organization

IMAGE PHYSICAL THERAPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BOITUMELO P KGOADI PHYSICAL THERAPIST (PHYSICAL THERAPIST)
(337) 857-6178
Entity
Organization

Contact information

Practice address
3021 VEROT SCHOOL RD, LAFAYETTE, LA 70508
(337) 857-6178
(337) 857-6592
Mailing address
3527 AMBASSADOR CAFFERY PKWY # 13, BOX 13, LAFAYETTE, LA 70503-5130
(337) 857-6178

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01833F
LA

Other

Enumeration date
01/30/2007
Last updated
05/02/2008
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