Organization
MAXX THERAPY OF LAKE CHARLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PITRE (DPT)
(337) 508-2505
Entity
Organization
Contact information
Practice address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Mailing address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/09/2024
Last updated
07/13/2026
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