Healthcare Provider Details

I. General information

NPI: 1679612329
Provider Name (Legal Business Name): PHYSICAL THERAPY WORKS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WESTMARK BLVD SUITE 4
LAFAYETTE LA
70506-7376
US

IV. Provider business mailing address

103 WESTMARK BLVD SUITE 4
LAFAYETTE LA
70506-7376
US

V. Phone/Fax

Practice location:
  • Phone: 337-988-4444
  • Fax: 337-988-4478
Mailing address:
  • Phone: 337-988-4444
  • Fax: 337-988-4478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNN DUMOND-DUNBAR
Title or Position: OWNER
Credential: RPT
Phone: 13379884444