Physical Therapy Clinic of Vinton LLC

Organization Active NPI Physical Therapy Clinic/Center · Vinton, LA

NPI 1316264153 · NPPES record last updated Jun 10, 2011

Key facts

NPI
1316264153
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
PT02051 (LA)
Legal business name
PHYSICAL THERAPY CLINIC OF VINTON LLC
Practice address
1329A Horridge St
Vinton, LA 70668-4531
Phone
(337) 589-2626
Fax
(337) 589-2621
NPI assigned
May 3, 2010
Organization subpart
No

Authorized official

Name
Stephanie Marceaux, PT
Title
Owner/Physical Therapist
Phone
(337) 589-2626

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT02051 LA Yes

Addresses

Primary practice location

1329A Horridge St
Vinton, LA 70668-4531

Mailing address

1329 A Horridge Street
Vinton, LA 70668
Phone (337) 589-2626

Other identifiers

IdentifierTypeStateIssuer
1821153016OtherPERSONAL NPI

Other providers in Vinton, LA

All providers in Vinton, LA · Physical Therapy Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.