Organization
PHYSICAL THERAPY CLINIC OF LAFAYETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE ANNE BLACKWELL (OFFICE MANAGER)
(337) 232-7080
Entity
Organization
Contact information
Practice address
1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 232-7080
(337) 237-2517
Mailing address
1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 232-7080
(337) 237-2517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/24/2006
Last updated
06/16/2010
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