Individual
KEVIN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4027 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0757
(337) 948-4212
(337) 942-9979
Mailing address
200 KATE RD, CARENCRO, LA 70520-6215
(337) 298-8598
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710917927
TAX ID#
LA
01
—
A6584
PTA LICENCE #
LA
Enumeration date
04/11/2007
Last updated
02/14/2025
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