NPI 1003080367

Beauregard Physical Therapy Clinic, INC

Organisation Physical Therapist Deridder, LA

Practice location

Address: 309 S Washington St, Deridder, LA 70634-4861
Phone: (337) 462-6097
Fax: (337) 462-0531

Authorised official

Name: Jamey Jerome Johnson
Title: Owner/President/Physical Therapist
Phone: (337) 462-6097

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1003080367
Entity type: Organization
NPI issued: 17 Apr 2008
Record last updated: 18 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.