NPI 1437646767

Premier Performance Physical Therapy and Sports Rehab

Organisation Physical Therapist Deridder, LA

Practice location

Address: 243 E 1st St, Deridder, LA 70634-4105
Phone: (936) 465-6282
Mailing address: 192 La-3226, Deridder, LA 70634

Authorised official

Name: Russell Hearne
Title: Physical Therapist
Phone: (936) 465-6282

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 09007R (LA)

Other Physical Therapist providers in Louisiana →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 08870R (LA)

Registry record

NPI: 1437646767
Entity type: Organization
NPI issued: 23 Apr 2018
Record last updated: 23 Apr 2018

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.