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NPI Code Detail

MEDICARE: ACTION POTENTIAL PHYSICAL THERAPY, INC.

MEDICARE: ACTION POTENTIAL PHYSICAL THERAPY, INC.
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 : 1396800587
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION POTENTIAL PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 4080 NELSON RD
Second Line : SUITE 500
City : LAKE CHARLES
State : LA
Zip : 70605
Country : US
Telephone Number : 337-494-7546
Fax Number : 337-494-7548
Provider Business Practice Location Address
First Line : 4080 NELSON RD
Second Line : SUITE 500
City : LAKE CHARLES
State : LA
Zip : 70605-2439
Country : US
Telephone Number : 337-494-7546
Fax Number : 337-494-7548
Authorized Official
Title or Position : PRESIDENT PHYSICAL THERAPIST
Name : FLOYD SALTZMAN
Credential : P.T.
Telephone Number : 337-494-7546
Provider Enumeration Date : 12/27/2006
Last Update Date : 04/15/2014

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