Organization
INTEGRATED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIX SORREL PT, DPT (MEMBER/MANAGER)
(337) 380-2823
Entity
Organization
Contact information
Practice address
218 RUE LOUIS XIV, SUITE A, LAFAYETTE, LA 70508-5766
(337) 456-6148
(337) 456-6239
Mailing address
218 RUE LOUIS XIV, SUITE A, LAFAYETTE, LA 70508-5766
(337) 456-6148
(337) 456-6239
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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