Organization
ELITE PHYSICAL THERAPY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BART JONES PT (PRESIDENT)
(318) 443-3311
Entity
Organization
Contact information
Practice address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Mailing address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7889
RAILROAD MEDICARE
LA
Enumeration date
05/16/2006
Last updated
11/30/2012
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