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NPI 1295357861

NPI 1295357861 : WARNER THERAPY SERVICES : COLUMBIA, LA

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General NPI Number Information
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    NPI Number           |    1295357861
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    Entity Type          |    Organization 
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    Legal Business Name  |    WARNER THERAPY SERVICES 
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Dates
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    Enumeration Date     |    05/17/2020
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    Last Update Date     |    02/14/2025
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Provider Practice Location Address
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    Address Line         |    7720 HIGHWAY 165 STE 1 
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    City                 |    COLUMBIA
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    State                |    LA
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    Zip                  |    71418-5348
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    Country              |    US
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    Telephone            |    318-936-2004
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    Fax                  |    318-965-7434
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Provider Business Mailing Address
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    Address Line         |    3804 HIGHWAY 126 E 
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    City                 |    GRAYSON
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    State                |    LA
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    Zip                  |    71435-3714
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    Country              |    US
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    Telephone            |    318-805-7987
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    Fax                  |    318-965-7434
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     KOLTER  WARNER 
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    Credential           |    PT, DPT
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    Telephone            |    318-936-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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