Organization
STAR PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW EDWARD SLIMMING P.T. (OWNER)
(985) 893-2845
Entity
Organization
Contact information
Practice address
69154 HWY 190 SERV RD, COVINGTON, LA 70433-5140
(985) 893-2845
(985) 893-2654
Mailing address
69154 HWY 190 SERV RD, COVINGTON, LA 70433-5140
(985) 893-2845
(985) 893-2654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 01770F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113646
—
LA
Enumeration date
05/25/2006
Last updated
09/25/2008
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