Individual
TAD LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 824-5488
(337) 824-5494
Mailing address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 824-5488
(337) 824-5494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08281
LA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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