Prime Exercise Therapy LLC

NPI #1619324886 in Lafayette, Louisiana

Provider Information

NPI Number
1619324886
Entity Type
Organization
Organization Name
Prime Exercise Therapy LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 18, 2016
Last Updated
May 18, 2016

Practice Location

Address
2425 W CONGRESS ST
ZIP Code
70506-5548
Phone
(337) 371-9312

Authorized Official

Name
JUSTIN CHARLES ROY
Title
EXERCISE THERAPIST/ OWNER
Phone
(337) 371-9312

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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