Organization
MAXX PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ARDOIN OTR/L (MANAGING PARTNER)
(337) 508-2505
Entity
Organization
Contact information
Practice address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
Mailing address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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