NPI 1164721833

Angels in the Outfield Physical Therapy LLC

Organisation Specialist Monroe, LA

Practice location

Address: 1651 Louisville Ave STE 123, Monroe, LA 71201-6039
Phone: (318) 737-7633
Fax: (318) 737-7686

Authorised official

Name: Angela Marie Dunn
Title: Owner/Operator
Phone: (318) 737-7633

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 04196 (LA)

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Registry record

NPI: 1164721833
Entity type: Organization
NPI issued: 21 Mar 2011
Record last updated: 20 Apr 2011

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.