Brignac Physical Therapy, Llc | |
1732 Deroche Circle Suite B Gramercy LA 70052 | |
(225) 869-0389 | |
(225) 869-0271 |
Full Name | Brignac Physical Therapy, Llc |
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Speciality | Clinic/Center |
Location | 1732 Deroche Circle, Gramercy, Louisiana |
Authorized Official Name and Position | Chantel Brignac (PHYSICAL THERAPIST / OWNER) |
Authorized Official Contact | 2258690389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brignac Physical Therapy, Llc 1732 Deroche Circle Suite B Gramercy LA 70052 Ph: (225) 869-0389 | Brignac Physical Therapy, Llc 1732 Deroche Circle Suite B Gramercy LA 70052 Ph: (225) 869-0389 |
NPI Number | 1811049356 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 11/30/2015 |
Medicare PECOS PAC ID | 6002867330 |
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Medicare Enrollment ID | O20050203000833 |
Identifier | Type | State | Issuer |
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1811049356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Louisiana) | Primary |
Provider Name | Chantel Brignac |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184775603 PECOS PAC ID: 4183774730 Enrollment ID: I20110104000972 |
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