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Organization

PHYSICAL THERAPY CLINIC OF VINTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE MARCEAUX PT (OWNER/PHYSICAL THERAPIST)
(337) 589-2626
Entity
Organization

Contact information

Practice address
1329A HORRIDGE ST, VINTON, LA 70668-4531
(337) 589-2626
(337) 589-2621
Mailing address
1329 A HORRIDGE STREET, VINTON, LA 70668
(337) 589-2626
(337) 589-2621

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT02051
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821153016
PERSONAL NPI
Enumeration date
05/03/2010
Last updated
06/10/2011
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