Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY CLINIC OF LAFAYETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAM HITE PT CERT MDT (PRESIDENT)
(337) 232-5301
Entity
Organization
Contact information
Practice address
245 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 232-5301
(337) 237-6504
Mailing address
245 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 232-5301
(337) 237-6504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00497
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23538
BLUE CROSS BLUE SHIELD
—
01
—
650018362
RR RETIREMENT MEDICARE
—
Enumeration date
11/02/2006
Last updated
04/22/2014
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