| Annalise Lasavia, | |
|
4971 Groom Rd, Baker, LA 70714-3145 | |
| (225) 775-7051 | |
| Not Available |
| Full Name | Annalise Lasavia |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4971 Groom Rd, Baker, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801636733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11758 (Louisiana) | Primary |
| Provider Name | Moreau Physical Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400 |
| Mailing Address | Practice Location Address |
|---|---|
| Annalise Lasavia, 4324 S Sherwood Forest Blvd Ste B170, Baton Rouge, LA 70816-4481 Ph: (225) 654-8208 | Annalise Lasavia, 4971 Groom Rd, Baker, LA 70714-3145 Ph: (225) 775-7051 |
Mr. Julian Craig Mcculloch, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4971 Groom Rd, Baker, LA 70714 Phone: 225-775-7051 Fax: 225-774-7244 | |
Jania Burns, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4971 Groom Rd, Baker, LA 70714 Phone: 225-775-7051 | |
Gina Pizzolato, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11734 Blackwater Rd, Baker, LA 70714 Phone: 225-439-2943 |