Healthcare Provider Details

I. General information

NPI: 1427243989
Provider Name (Legal Business Name): THE NORTH INSTITUTE, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29301 N. DIXIE RANCH RD.
LACOMBE LA
70445
US

IV. Provider business mailing address

PO BOX 2290
LACOMBE LA
70445-2290
US

V. Phone/Fax

Practice location:
  • Phone: 985-871-4114
  • Fax: 985-871-4130
Mailing address:
  • Phone: 985-871-4114
  • Fax: 985-871-4130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE MAGGIO
Title or Position: ADMINISTRATOR
Credential:
Phone: 985-871-4114