Individual
CHRISTOPHER K PRIMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
110 HERMITAGE AVE, LAFAYETTE, LA 70503-6626
(337) 936-5380
Mailing address
110 HERMITAGE AVE, LAFAYETTE, LA 70503-6626
(337) 936-5380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02658
LA
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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