MEDICARE: THE LOAF THERAPY SOLUTIONS, LLC

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1225996515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LOAF THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	4430 BROWN ST APT F
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-4768
Country	:	US
Telephone Number	:	646-491-2718
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 BROWN ST APT F
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-4768
Country	:	US
Telephone Number	:	646-491-2718
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	ALFIE DULAP
Credential	:	PT
Telephone Number	:	646-491-2718

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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