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General NPI Number Information
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NPI Number | 1417916685
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 301 W FERTITTA BLVD STE 4
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City | LEESVILLE
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State | LA
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Zip | 71446-4665
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Country | US
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Telephone | 337-238-9931
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Fax | 337-239-0066
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Provider Business Mailing Address
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Address Line | 301 W FERTITTA BLVD STE 4
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City | LEESVILLE
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State | LA
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Zip | 71446-4665
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Country | US
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Telephone | 337-238-9931
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Fax | 337-239-0066
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MELISSA JEANE
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Credential |
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Telephone | 337-238-9931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 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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