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NPI Code Detail

MEDICARE: EMILY H WELDON PT

MEDICARE:   EMILY H WELDON  PT
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 Therapist07025LA

General Provider Information

NPI Number : 1093605560
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY H WELDON PT
Provider Business Mailing Address
First Line : PO BOX 849
Second Line :
City : JENNINGS
State : LA
Zip : 70546-0849
Country : US
Telephone Number : 337-824-8287
Fax Number : 337-824-8287
Provider Business Practice Location Address
First Line : 4451 NELSON RD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-4136
Country : US
Telephone Number : 337-564-5027
Fax Number : 337-564-5028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2025
Last Update Date : 07/07/2025

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