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Organization

ST. JOHN PHYSICAL THERAPY, LLC

Active
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Organization

ST. JOHN PHYSICAL THERAPY, LLC

Active
Other names
Kinetix Orthopedic & Sports Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DERWARD THOMAS NORSWORTHY JR. PT (MANAGING PARTNER)
(985) 652-9515
Entity
Organization

Contact information

Practice address
1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
(225) 869-9632
(225) 869-9633
Mailing address
1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
(225) 869-9632
(225) 869-9633

Taxonomy

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

Other

Enumeration date
10/17/2012
Last updated
04/11/2016
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