Organization
GEAUX FIT OF LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY WHITLOCK (CREDENTIALING MANAGER)
(318) 325-6200
Entity
Organization
Contact information
Practice address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678
Mailing address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07456
LA
Other
Enumeration date
08/21/2017
Last updated
07/28/2022
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