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Contact Information

MAYO PHYSICAL THERAPY LLC
12023 HIGHWAY 84 WEST
JENA, LA71342
 Phone: 318-445-0040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for MAYO PHYSICAL THERAPY LLC

NPI Number 1417207200
LBN Legal business name MAYO PHYSICAL THERAPY LLC
Authorized official ROBERT MAYO - (PHYSICAL THERAPIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2012
Last updated 09/19/2012 - About 14 years ago
Identifiers
LA License # 01246
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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