Organization
INNOVATIVE PHYSICAL THERAPY LLC
Active
Parent organization
INNOVATIVE PHYSICAL THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE PHYSICAL THERAPY LLC
Authorized official
ILYAS MUNSHI MD (OWNER)
(337) 234-5344
Entity
Organization
Contact information
Practice address
99 W MARTIAL AVE, LAFAYETTE, LA 70508-6583
(337) 408-8000
(337) 408-8002
Mailing address
PO BOX 82510, LAFAYETTE, LA 70598-2510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
LA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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