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General NPI Number Information
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NPI Number | 1932292190
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Entity Type | Organization
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Legal Business Name | PCPT OF WEST BATON ROUGE, INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 402 NORTH VAUGHN
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City | BRUSLY
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State | LA
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Zip | 70719
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Country | US
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Telephone | 225-749-4900
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Fax | 225-749-0999
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Provider Business Mailing Address
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Address Line | 402 NORTH VAUGHN
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City | BRUSLY
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State | LA
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Zip | 70719
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Country | US
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Telephone | 225-749-4900
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Fax | 225-749-0999
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Authorized Official
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Title or Position | OWNER
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Name | MR. TODD TRUITT JANNEY SR.
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Credential | P. T.
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Telephone | 225-749-4900
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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 | 01442
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License Number State | LA
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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 | 06477
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTT.200083
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 3062
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | LZ12283
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License Number State | LA
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