Organization
PHYSIOFIT PHYSICAL THERAPY, LLC
Active
Other names
Physiofit - NOLA Gentilly
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP OF REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
4221 OLD GENTILLY RD STE C, NEW ORLEANS, LA 70126-4901
(504) 435-1468
(504) 435-1775
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
LA
225X00000X
Occupational Therapist
—
LA
Other
Enumeration date
04/12/2018
Last updated
05/04/2018
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