Organization
CORE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAH MCGRAW (BUS MANAGER)
(318) 336-5400
Entity
Organization
Contact information
Practice address
4616 HIGHWAY 84 W, VIDALIA, LA 71373
(318) 336-5400
(318) 336-8621
Mailing address
4616 HIGHWAY 84 W, VIDALIA, LA 71373-3357
(318) 336-5400
(318) 336-8621
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
09009R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05702398
—
MS
05
—
236280
—
LA
Enumeration date
01/09/2015
Last updated
01/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us