NPI 1275715633 · live from the CMS NPI Registry
Loree A Altazan
Physical Therapist in Lafayette, LA. National Provider Identifier 1275715633, active.
NPI record
| NPI | 1275715633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 353 Doucet Rd, A-2, Lafayette, LA 70503 |
| Practice phone | 337-303-7423 |
| Enumerated | November 28, 2007 |
| Last updated | August 26, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 06424 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.