Individual
TAMMY M SCIMECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
17413 HIGHWAY 40 E, INDEPENDENCE, LA 70443-2637
(985) 974-5464
Mailing address
17413 HIGHWAY 40 E, INDEPENDENCE, LA 70443-2637
(985) 974-5464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01630
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630
PT LICENSE
LA
05
—
1302473
—
LA
Enumeration date
05/04/2007
Last updated
07/08/2007
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