Organization
PRIME EXERCISE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CHARLES ROY (EXERCISE THERAPIST/ OWNER)
(337) 371-9312
Entity
Organization
Contact information
Practice address
2425 W CONGRESS ST, LAFAYETTE, LA 70506-5548
(337) 371-9312
Mailing address
2425 W CONGRESS ST, LAFAYETTE, LA 70506-5548
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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