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General NPI Number Information
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NPI Number | 1093879660
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY ASSOCIATES, INC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 906 HOMER RD
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City | MINDEN
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State | LA
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Zip | 71055-3024
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Country | US
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Telephone | 318-377-4028
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Fax | 318-377-9895
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Provider Business Mailing Address
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Address Line | 906 HOMER RD
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City | MINDEN
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State | LA
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Zip | 71055-3024
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Country | US
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Telephone | 318-377-4028
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Fax | 318-377-9895
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JANET S HOPPE
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Credential | P.T.
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Telephone | 318-377-4028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-861
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License Number State | LA
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