Healthcare Provider Details

I. General information

NPI: 1548390123
Provider Name (Legal Business Name): CARA ALFANO HOTSTREAM PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA ALFANO PHYSICAL THERAPIST

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 HENNESSY BLVD SUITE 101
BATON ROUGE LA
70808
US

IV. Provider business mailing address

6723 JEFFERSON HWY
BATON ROUGE LA
70806-8106
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-5004
  • Fax: 225-767-3117
Mailing address:
  • Phone: 225-926-2400
  • Fax: 225-926-2400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05018R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: