Individual provider · NPI-1

Loree A Altazan

Physical Therapist · Lafayette, LA

NPI number1275715633
StatusActive
Last updated in NPPESAug 26, 2008

Details

NPI
1275715633
Entity type
Individual (NPI-1)
Name
Loree A Altazan
Sex
Female
Sole proprietor
No
Enumeration date
Nov 28, 2007
Last updated
Aug 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist06424LAYes

Practice location

353 Doucet Rd
A-2
Lafayette, LA 70503-3444

Phone 337-303-7423 · Fax 337-216-7787

Mailing address

353 Doucet Rd
A-2
Lafayette, LA 70503-3444

Phone 337-303-7423 · Fax 337-216-7787

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