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General NPI Number Information
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NPI Number | 1508773060
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Entity Type | Organization
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Legal Business Name | PEDIACARE THERAPY SOLUTIONS
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 508 RODERICK ST
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City | MORGAN CITY
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State | LA
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Zip | 70380-2247
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Country | US
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Telephone | 985-226-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 147 RUE ST RACHEL
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City | HOUMA
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State | LA
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Zip | 70360-5959
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Country | US
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Telephone | 985-226-8988
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. JUDITH FEROLIN ROGER
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Credential | PT
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Telephone | 985-226-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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