Joy Birdwell Petty PT

NPI 1003173295 - Physical Therapist - 225100000X

NPI Details
NPI 1003173295
Gender Female
Enumeration Date 04/12/2012
Last Updated 02/03/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
1219 CHURCH ST
ZACHARY LA, 70791-2347, US
Phone (225) 658-7751
Fax (225) 658-7753
Business Location
1219 CHURCH ST
ZACHARY LA, 70791-2347, US
Phone (225) 658-7751
Fax (225) 658-7753
Toxanomy
Taxonomy Code 225100000X
License State Louisiana
License Number 04452
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According to our database, Mrs. Joy Birdwell Petty PT NPI is 1003173295, taxonomy code is 225100000X and license number is 04452, license state is located at Louisiana. Joy Birdwell Petty PT physically located at 1219 Church St, Zachary LA, 70791-2347. NPI Number Joy Birdwell Petty PT has the Individual type.

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1003173295 NPI number is provided on an as is basis without warranty of any kind. 1003173295 is maintained by the National Plan & Provider Enumeration System. The contents of Joy Birdwell Petty PT are for informational purposes only.