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General NPI Number Information
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NPI Number | 1912843855
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Entity Type | Organization
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Legal Business Name | ACTION POTENTIAL PHYSICAL THERAPY - MOSS BLUFF, LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 190 GLORIA DR STE 100
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City | LAKE CHARLES
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State | LA
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Zip | 70611-5043
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Country | US
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Telephone | 337-214-2930
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Fax | 337-226-3863
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Provider Business Mailing Address
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Address Line | 4080 NELSON RD STE 500
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City | LAKE CHARLES
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State | LA
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Zip | 70605-2440
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Country | US
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Telephone | 337-494-7546
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Fax | 337-494-7548
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Authorized Official
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Title or Position | OWNER
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Name | FLOYD SALTZMAN III
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Credential | PT
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Telephone | 337-494-7546
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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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