Organization
PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JEANE (ADMINISTRATOR)
(337) 238-9931
Entity
Organization
Contact information
Practice address
301 W FERTITTA BLVD STE 4, LEESVILLE, LA 71446-4665
(337) 238-9931
(337) 239-0066
Mailing address
301 W FERTITTA BLVD STE 4, LEESVILLE, LA 71446-4665
(337) 238-9931
(337) 239-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651991
—
LA
Enumeration date
03/17/2006
Last updated
04/21/2025
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