Physical Medicine Center

NPI 1396742953 - Clinic/Center - 261QM1300X

NPI Details
NPI 1396742953
Enumeration Date 06/28/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEREK TODD DEREK
Position OWNER
Phone (337) 233-5230
Fax (337) 233-5270
Practice Location
401 N COLLEGE RD
STE 3&4
LAFAYETTE LA, 70506-4263, US
Phone (337) 233-5230
Fax (337) 233-5270
Business Location
401 N COLLEGE RD
STE 3&4
LAFAYETTE LA, 70506-4263, US
Phone (337) 233-5230
Fax (337) 233-5270
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
Remove 1396742953 NPI Number
 

According to our database, Physical Medicine Center NPI is 1396742953, taxonomy code is 261QM1300X Physical Medicine Center physically located at 401 N College Rd, Lafayette LA, 70506-4263. NPI Number 1033115704 has the healthcare provider type.

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1396742953 NPI number is provided on an as is basis without warranty of any kind. 1396742953 is maintained by the National Plan & Provider Enumeration System. The contents of Physical Medicine Center are for informational purposes only.