Healthcare Provider Details

I. General information

NPI: 1215583018
Provider Name (Legal Business Name): ONE ON ONE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2019
Last Update Date: 10/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515B VEROT SCHOOL RD STE 1
LAFAYETTE LA
70508-5271
US

IV. Provider business mailing address

515B VEROT SCHOOL RD STE 1
LAFAYETTE LA
70508-5271
US

V. Phone/Fax

Practice location:
  • Phone: 337-234-5541
  • Fax: 337-593-8330
Mailing address:
  • Phone: 337-234-5541
  • Fax: 337-593-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM S HEBERT
Title or Position: COPARTNER/PT
Credential: PT
Phone: 337-234-5541