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NPI Code Detail

MEDICARE: IN TOTO PHYSICAL THERAPY AND WELLNESS, LLC

MEDICARE: IN TOTO PHYSICAL THERAPY AND WELLNESS, 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1336606011
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN TOTO PHYSICAL THERAPY AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 333 TEXAS ST STE 1300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-3783
Country : US
Telephone Number : 318-469-3285
Fax Number :
Provider Business Practice Location Address
First Line : 333 TEXAS ST STE 1300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-3783
Country : US
Telephone Number : 318-469-3285
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DR. MELANIE LANE
Credential : DPT
Telephone Number : 318-469-3285
Provider Enumeration Date : 02/28/2019
Last Update Date : 05/13/2019

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Directions to “IN TOTO PHYSICAL THERAPY AND WELLNESS, LLC ” Practice Location

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