Individual provider · NPI-1
Brooke Anzalone
Physical Therapist · Lafayette, LA
NPI number1649836370
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1649836370
- Entity type
- Individual (NPI-1)
- Name
- Miss Brooke Anzalone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2019
- Last updated
- May 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10037 | LA | Yes |
Practice location
227 B Bendel RdSuite C
Lafayette, LA 70503
Phone 337-981-9940 · Fax 337-981-2531
Mailing address
P.O. Box 80480Lafayette, LA 70596-0480
Phone 337-981-9940 · Fax 337-981-2531
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