| Premier Performance Physical Therapy And Sports Rehab | |
|
243 E 1st St, Deridder, LA 70634-4105 | |
| (936) 465-6282 | |
| Not Available |
| Full Name | Premier Performance Physical Therapy And Sports Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 243 E 1st St, Deridder, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437646767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 09007R (Louisiana) | Primary |
| 225100000X | Physical Therapist | 08870R (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Performance Physical Therapy And Sports Rehab 192 La-3226, Deridder, LA 70634 Ph: (936) 465-6282 | Premier Performance Physical Therapy And Sports Rehab 243 E 1st St, Deridder, LA 70634-4105 Ph: (936) 465-6282 |
Beauregard Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Mr. Mason Shaw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Dr. Russell Warren Hearne, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 936-465-6282 | |
Dr. Cody Ray Leblanc, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 337-375-1013 | |
Dr. Rebecca Kohara Broussard, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531 | |
Tracy Winkley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1744 Ball Rd, Deridder, LA 70634 Phone: 337-396-8598 Fax: 337-463-2918 |