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NPI Code Detail

MEDICARE: ALLEN CHARLES LOUVIERE III PT, DPT

MEDICARE: ALLEN CHARLES LOUVIERE III PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist294311CA
2225100000XPhysical Therapist1274927TX
3225100000XPhysical Therapist09422RLA

General Provider Information

NPI Number : 1083061063
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN CHARLES LOUVIERE III PT, DPT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-4915
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 2312 DAVID DR STE C
Second Line :
City : METAIRIE
State : LA
Zip : 70003-4504
Country : US
Telephone Number : 985-898-3979
Fax Number : 985-898-3981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 02/18/2019

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