Organization
MAGNOLIA MOVEMENT PT AND WELLNESS
Active
Organization
MAGNOLIA MOVEMENT PT AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LEFORT PT, DPT (OWNER/PHYSICAL THERAPIST)
(337) 380-3607
Entity
Organization
Contact information
Practice address
1025 KALISTE SALOOM RD STE 100, LAFAYETTE, LA 70508-4964
(337) 380-3607
Mailing address
710 LA RUE DE LANNIE, NEW IBERIA, LA 70560-7758
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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