| Fulco And Hall Performance And Therapy Llc | |
|
172 Heritage Ste K, Broussard, LA 70518-8046 | |
| (337) 214-1244 | |
| (866) 825-4104 |
| Full Name | Fulco And Hall Performance And Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 172 Heritage Ste K, Broussard, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114790177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Nicholas Fulco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760006803 PECOS PAC ID: 4688096977 Enrollment ID: I20200615000875 |
| Provider Name | David A Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497170419 PECOS PAC ID: 6204251929 Enrollment ID: I20200729000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Fulco And Hall Performance And Therapy Llc 6123 Kateland Cir, Bossier City, LA 71111-6988 Ph: (318) 754-7367 | Fulco And Hall Performance And Therapy Llc 172 Heritage Ste K, Broussard, LA 70518-8046 Ph: (337) 214-1244 |
Inzerella Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 South Morgan Ave, Broussard, LA 70518 Phone: 337-830-4134 Fax: 337-837-4136 | |
John Austin Berry, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939 | |
Dynamic Flow Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1431 Old Spanish Trail Hwy Lot 4, Broussard, LA 70518 Phone: 337-321-0010 | |
Jada Lynn Poche, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939 | |
Karen Ann Bienvenu, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939 | |
Prof. Beneth Marie Frame, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939 |