Osteopractic Physical Therapy Of Southwest Louisiana Llc | |
417 N Eighth St, Kinder, LA 70648 | |
(936) 465-6282 | |
Not Available |
Full Name | Osteopractic Physical Therapy Of Southwest Louisiana Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 417 N Eighth St, Kinder, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003551565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Russell Warren Hearne |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508369737 PECOS PAC ID: 7113250424 Enrollment ID: I20190531000258 |
Mailing Address | Practice Location Address |
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Osteopractic Physical Therapy Of Southwest Louisiana Llc 417 N Eighth St, Kinder, LA 70648 Ph: (936) 465-6282 | Osteopractic Physical Therapy Of Southwest Louisiana Llc 417 N Eighth St, Kinder, LA 70648 Ph: (936) 465-6282 |
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