Organization
PHYSIOFIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTGERUS FJ JONGBLOETS PT (OWNER)
(985) 532-9662
Entity
Organization
Contact information
Practice address
18641 HWY 3235, GALLIANO, LA 70354
(985) 475-4555
(985) 475-4557
Mailing address
115 JOHNNY DUFRENE DR, RACELAND, LA 70394-2611
(985) 532-9662
(985) 532-3942
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5233772
LA
Other
Enumeration date
03/13/2007
Last updated
12/28/2010
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