Organization
LOUISIANA PHYSICAL THERAPY CENTERS OF PINEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E MCKENZIE MPT (PHYSICAL THERAPIST OWNER)
(318) 487-6525
Entity
Organization
Contact information
Practice address
1135 EXPRESSWAY DRIVE, SUITE 100 B, PINEVILLE, LA 71360
(318) 487-6525
(318) 487-6527
Mailing address
P O BOX 13643, ALEXANDRIA, LA 71315
(318) 487-6525
(318) 487-6527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111619
—
LA
05
—
1475955
—
LA
Enumeration date
08/19/2006
Last updated
08/22/2020
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