NPI 1942904933 · live from the CMS NPI Registry
Mia Manzanares Baeza, PT
Physical Therapist in Opelousas, LA. National Provider Identifier 1942904933, active.
NPI record
| NPI | 1942904933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4027 I 49 S Service Rd, Opelousas, LA 70570 |
| Practice phone | 337-948-4212 |
| Mailing address | 1326 Church St, Zachary, LA 70791 |
| Enumerated | March 27, 2023 |
| Last updated | March 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 11457 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.