Healthcare Provider Details

I. General information

NPI: 1487604096
Provider Name (Legal Business Name): BENETH MARIE FRAME PT, MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BENETH MARIE ARCENEAUX PT

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 ALBERTSON PKWY STE A
BROUSSARD LA
70518-4968
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 337-839-8883
  • Fax: 337-839-8939
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number04958
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: