| Cypress Pt Charles Llc | |
|
12807 Highway 90 Ste 101, Luling, LA 70070-2214 | |
| (985) 308-0078 | |
| (985) 308-0248 |
| Full Name | Cypress Pt Charles Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12807 Highway 90 Ste 101, Luling, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578264552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Patrick J Hennessey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740733070 PECOS PAC ID: 8729376892 Enrollment ID: I20161006000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Pt Charles Llc 12807 Highway 90 Ste 101, Luling, LA 70070-2214 Ph: (985) 308-0078 | Cypress Pt Charles Llc 12807 Highway 90 Ste 101, Luling, LA 70070-2214 Ph: (985) 308-0078 |
Bryan Soulie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12371 Highway 90, Suite D, Luling, LA 70070 Phone: 985-331-1001 Fax: 985-331-1005 | |
Cameron J Troxler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12371 Us 90, Suite D, Luling, LA 70070 Phone: 985-331-1001 | |
Mr. Matthew M Powers, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12371 Hwy 90, Ste D, Luling, LA 70070 Phone: 985-331-1001 Fax: 985-331-1005 | |
James D Miller Iii, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1057 Paul Maillard Rd, Luling, LA 70070 Phone: 985-785-4237 Fax: 985-785-3729 | |
Owen M Gauthier Ii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12371 Highway 90, Suite D, Luling, LA 70070 Phone: 985-331-1001 Fax: 985-331-1005 | |
Christopher Cronin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12371 Highway 90, Suite D, Luling, LA 70070 Phone: 985-331-1001 Fax: 985-331-1005 | |
River Region Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 12371 Highway 90, Suite D, Luling, LA 70070 Phone: 985-331-1001 Fax: 985-331-1005 |