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NPI Code Detail

MEDICARE: ACADIAN COMPREHENSIVE THERAPY

MEDICARE: ACADIAN COMPREHENSIVE THERAPY
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
1261QP2000XPhysical Therapy Clinic/CenterLA

General Provider Information

NPI Number : 1255494050
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADIAN COMPREHENSIVE THERAPY
Provider Business Mailing Address
First Line : PO BOX 51783
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1783
Country : US
Telephone Number : 337-269-1161
Fax Number : 337-269-1169
Provider Business Practice Location Address
First Line : 1700 KALISTE SALOOM RD STE 300
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-6187
Country : US
Telephone Number : 337-269-1161
Fax Number : 337-269-1169
Authorized Official
Title or Position : OFFICE MANAGER
Name : CHRISSY GARY
Credential :
Telephone Number : 337-269-1161
Provider Enumeration Date : 12/19/2006
Last Update Date : 03/17/2018

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Directions to “ACADIAN COMPREHENSIVE THERAPY ” Practice Location

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