Individual
MR. DAVID L VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. T.
Contact information
Practice address
1477 W LASALLE ST, VILLE PLATTE, LA 70586-2974
(337) 363-2600
(337) 363-2599
Mailing address
1477 W LASALLE ST, VILLE PLATTE, LA 70586-2974
(337) 363-2600
(337) 363-2599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01613
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1153591
—
LA
Enumeration date
11/08/2006
Last updated
05/01/2009
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