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NPI Code Detail

MEDICARE: DEANN T KOYN PT

MEDICARE: DEANN T KOYN 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 TherapistPT22753FL
2225100000XPhysical Therapist00914RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376638379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANN T KOYN PT
Provider Business Mailing Address
First Line : 200 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5798
Country : US
Telephone Number : 504-899-9511
Fax Number :
Provider Business Practice Location Address
First Line : 200 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5798
Country : US
Telephone Number : 504-899-9511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 09/15/2020

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Directions to “ DEANN T KOYN PT” Practice Location

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