Mr Arthur James Wilson Iv, PT | |
4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 | |
(225) 416-0333 | |
(225) 416-0332 |
Full Name | Mr Arthur James Wilson Iv |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4171 Hwy 1 S. Ste 10, Port Allen, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104473925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 00883 (Louisiana) | Primary |
Provider Name | Westside Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922666551 PECOS PAC ID: 5991030801 Enrollment ID: O20190716000158 |
Mailing Address | Practice Location Address |
---|---|
Mr Arthur James Wilson Iv, PT 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 | Mr Arthur James Wilson Iv, PT 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 |
Haley Fontenot Leblanc, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4463 Hwy 1 S Ste D, Port Allen, LA 70767 Phone: 225-749-8980 Fax: 225-749-9096 | |
Mrs. Nicole Marie Fabre, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 | |
Westside Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4171 Hwy 1 S., Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 |