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NPI Code Detail

MEDICARE: PHYSICAL THERAPY IN MOTION, INC.

MEDICARE: PHYSICAL THERAPY IN MOTION, 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/Center06782LA

General Provider Information

NPI Number : 1669887949
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY IN MOTION, INC.
Provider Business Mailing Address
First Line : 248 LENOX BRG
Second Line :
City : STERLINGTON
State : LA
Zip : 71280-3346
Country : US
Telephone Number : 318-557-7985
Fax Number :
Provider Business Practice Location Address
First Line : 4075 STERLINGTON RD
Second Line :
City : MONROE
State : LA
Zip : 71203-2535
Country : US
Telephone Number : 318-557-7985
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DR. MOUHAMED LAMINE BADJI
Credential : PT, DPT
Telephone Number : 318-557-7985
Provider Enumeration Date : 06/25/2014
Last Update Date : 06/25/2014

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