Organization
PHYSICAL THERAPY OF BATON ROUGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAIN MACKAY P.T. (OWNER)
(225) 751-3696
Entity
Organization
Contact information
Practice address
2645 ONEAL LANE BLDG C, STE D, BATON ROUGE, LA 70816-3179
(225) 751-3696
(225) 751-3697
Mailing address
2645 ONEAL LANE BLDG C, STE D, BATON ROUGE, LA 70816-3179
(225) 751-3696
(225) 751-3697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00356
LA
225100000X
Physical Therapist
Primary
00619
LA
225100000X
Physical Therapist
01455F
LA
225100000X
Physical Therapist
02040F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6968
BLUE CROSS OF
LA
Enumeration date
09/28/2006
Last updated
08/22/2020
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