Organization
PONCHATOULA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE C HIGGS LOTR (DIRECTOR)
(985) 969-0517
Entity
Organization
Contact information
Practice address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 969-0517
Mailing address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 969-0517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/15/2011
Last updated
08/16/2021
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