Organization
AL IV ENTERPRISES INC
Active
Other names
Kinetics Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT A NASTASI III PT (PHYSICAL THERAPIST)
(985) 892-1103
Entity
Organization
Contact information
Practice address
9 STARBRUSH CIR, SUITE 201, COVINGTON, LA 70433-7246
(985) 892-1103
(985) 892-1889
Mailing address
9 STARBRUSH CIR, SUITE 201, COVINGTON, LA 70433-7246
(985) 892-1103
(985) 892-1889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00103214
RAILROAD MEDICARE
LA
Enumeration date
03/14/2007
Last updated
06/10/2008
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