Organization
UNITED THERAPISTS OF LOUISIANA L.L.C
Active
Organization
UNITED THERAPISTS OF LOUISIANA L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND M NJALLE PT (DIRECTOR)
(318) 941-5006
Entity
Organization
Contact information
Practice address
344 MISSION DRIVE, SIMMESPORT, LA 71369
(318) 941-5006
(318) 941-5007
Mailing address
1900 FALSE RIVER DRIVE, STE #1, NEW ROADS, LA 70760
(318) 941-5006
(318) 941-5007
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04007R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123846
—
LA
Enumeration date
09/13/2006
Last updated
06/08/2011
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