Organization
PHYSICAL THERAPY SOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P KRAMER PT (OWNER)
(337) 451-6385
Entity
Organization
Contact information
Practice address
810 S SAINT BLAISE LN, STE A, YOUNGSVILLE, LA 70592-5581
(337) 451-6385
(337) 451-6708
Mailing address
810 S SAINT BLAISE LN, STE A, YOUNGSVILLE, LA 70592-5581
(337) 451-6385
(337) 451-6708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01644
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C928
MEDICARE PTAN
LA
Enumeration date
08/29/2014
Last updated
08/29/2014
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