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Organization

INNOVATIVE SUIT THERAPY AND FITNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE DELUCA DELUCA GLAHN (PHYSICAL THERAPIST)
(985) 792-7700
Entity
Organization

Contact information

Practice address
70493 HIGHWAY 21 STE 600, COVINGTON, LA 70433-7018
(985) 792-7700
(985) 247-8220
Mailing address
70493 HIGHWAY 21 STE 600, COVINGTON, LA 70433-7018
(985) 792-7700
(985) 247-8220

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
04135
LA
261QP2000X
Physical Therapy Clinic/Center
Primary
LA

Other

Enumeration date
04/01/2009
Last updated
08/06/2024
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