Yolanda Javn Bertrand, LPTA

Individual provider Active NPI Physical Therapy Assistant · Harvey, LA

NPI 1174725592 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174725592
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A4945 (LA)
Practice address
2328 Deerlick LN
Harvey, LA 70058-2211
Phone
(504) 340-3033
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A4945LAMDPhysical Therapy Assistant
2057757TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4945 LA Yes
Physical Therapy Assistant 225200000X 2057757 TX

Addresses

Primary practice location

2328 Deerlick LN
Harvey, LA 70058-2211

Mailing address

2328 Deerlick LN
Harvey, LA 70058-2211
Phone (504) 340-3033

Other providers in Harvey, LA

All providers in Harvey, LA · Physical Therapy Assistant in Louisiana

Sources for this page

Verify at the official NPI Registry.