Organization
CENLA ASSOCIATED THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED THURMOND PT (ADMINISTRATOR)
(318) 443-9305
Entity
Organization
Contact information
Practice address
2602 HIGHWAY 28 E STE A, PINEVILLE, LA 71360-5609
(318) 443-9305
(318) 443-3143
Mailing address
310 MALLARD CV, PINEVILLE, LA 71360-7900
(318) 443-9305
(318) 443-3143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/27/2006
Last updated
10/06/2011
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