Organization
SAINT NICHOLAS CENTER FOR EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY JONES (EXECUTIVE)
(337) 491-0800
Entity
Organization
Contact information
Practice address
314 BROAD ST, LAKE CHARLES, LA 70601-4224
(337) 491-0800
Mailing address
314 BROAD ST, LAKE CHARLES, LA 70601-4224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08014F
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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