Organization
PARISH PHYSICAL THERAPY LLC
Active
Organization
PARISH PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A WALL PT (PHYSICAL THERAPIST OWNER)
(985) 735-3080
Entity
Organization
Contact information
Practice address
1616 S COLUMBIA ST, STE B, BOGALUSA, LA 70427-5881
(985) 735-3080
(985) 735-7031
Mailing address
1616 S COLUMBIA ST, STE B, BOGALUSA, LA 70427
(985) 735-3080
(985) 735-7031
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
03388
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471640
—
LA
Enumeration date
11/28/2006
Last updated
04/03/2008
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