Organization
PIERRE PART PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY PAINE PT (OWNER)
(985) 252-9396
Entity
Organization
Contact information
Practice address
2729 LEE DR, PIERRE PART, LA 70339-4935
(985) 252-9396
(985) 252-9396
Mailing address
2729 LEE DR, PIERRE PART, LA 70339-4935
(985) 252-9396
(985) 252-9396
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00280
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X188
MEDICARE ID
LA
Enumeration date
06/05/2007
Last updated
01/22/2008
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