Organization
PHYSICAL THERAPY SERVICES OF CHURCH POINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONA WIMBERLY (CORP SEC/TREASURERO-OFFICE MGR)
(337) 684-6585
Entity
Organization
Contact information
Practice address
119 SOUTH MAIN ST, CHURCH POINT, LA 70525-0119
(337) 684-6585
(337) 684-6585
Mailing address
PO BOX 299, CHURCH POINT, LA 70525-0299
(337) 684-6585
(337) 684-6585
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00219
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099298
AETNA
—
Enumeration date
11/03/2005
Last updated
08/22/2020
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