Dr. Ime Emerson Udom, PT, DPT, PhD
Physical Therapist in Chauvin, LA. Individual provider (NPI-1).
NPI number1881746766
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1881746766
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ime Emerson Udom
- Credential
- PT, DPT, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 02072F | LA | Yes |
Practice location
5108 Hwy 56Chauvin, LA 70344-8316
Phone 985-594-8332 · Fax 985-594-8389
Mailing address
Po Box 58Chauvin, LA 70344-0058
Phone 985-594-8332 · Fax 985-594-8389
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