Maxx Physical Therapy, Llc | |
1714 Wolf Cir, Lake Charles, LA 70605-2353 | |
(337) 508-2505 | |
Not Available |
Full Name | Maxx Physical Therapy, Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1714 Wolf Cir, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255964110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Chad E Ardoin |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831602606 PECOS PAC ID: 9436186251 Enrollment ID: I20050725000116 |
Provider Name | Lauren Pitre |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366998973 PECOS PAC ID: 8426339730 Enrollment ID: I20161228001928 |
Provider Name | Emily Pierce |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841963428 PECOS PAC ID: 9931595097 Enrollment ID: I20220330000651 |
Provider Name | Abby Elizabeth Lewis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578186649 PECOS PAC ID: 0840667580 Enrollment ID: I20221109000881 |
Provider Name | Mary Fiona Hendry Smith |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1255938387 PECOS PAC ID: 2961871611 Enrollment ID: I20221220000781 |
Provider Name | Kalie Tate |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518604792 PECOS PAC ID: 8325418361 Enrollment ID: I20230109000018 |
Provider Name | Mildred Elizabeth Hyde |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1528254489 PECOS PAC ID: 8527488717 Enrollment ID: I20230609002630 |
Mailing Address | Practice Location Address |
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Maxx Physical Therapy, Llc 1714 Wolf Cir, Lake Charles, LA 70605-2353 Ph: (337) 508-2505 | Maxx Physical Therapy, Llc 1714 Wolf Cir, Lake Charles, LA 70605-2353 Ph: (337) 508-2505 |