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NPI Code Detail

MEDICARE: MS. CAROL LEE WHITMORE PHYSICAL THERAPIST

MEDICARE: MS. CAROL LEE WHITMORE PHYSICAL THERAPIST
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 Therapist01491-RLA

General Provider Information

NPI Number : 1851019152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LEE WHITMORE PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1622 DUBLIN ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-2840
Country : US
Telephone Number : 504-289-2269
Fax Number :
Provider Business Practice Location Address
First Line : 1484 WOODLAND HWY
Second Line :
City : BELLE CHASSE
State : LA
Zip : 70037-1672
Country : US
Telephone Number : 504-595-6355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 08/22/2022

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Directions to “ MS. CAROL LEE WHITMORE PHYSICAL THERAPIST” Practice Location

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