Organization
PHYSICAL THERAPY INCORPORATED OF MONROE (PT INC) INC
Active
Other names
PT Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANJELIQUE VIA LILES MPT (PRESIDENT)
(318) 387-4973
Entity
Organization
Contact information
Practice address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 387-4973
(318) 322-4093
Mailing address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 387-4973
(318) 322-4093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012793
—
LA
Enumeration date
09/16/2009
Last updated
09/16/2009
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