Healthcare Provider Details

I. General information

NPI: 1760906606
Provider Name (Legal Business Name): KATIE MARIE TOPPING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FALCONER DR STE D
COVINGTON LA
70433-8211
US

IV. Provider business mailing address

330 FALCONER DR
COVINGTON LA
70433-8210
US

V. Phone/Fax

Practice location:
  • Phone: 985-871-7878
  • Fax:
Mailing address:
  • Phone: 985-871-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number09700R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: