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Contact Information

VICTORY PHYSICAL THERAPY & REHAB CLINIC
6554 FLORIDA BLVD
SUITE 119
BATON ROUGE, LA70806-4474
 Phone: 225-248-0085
 Fax: 225-248-0086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for VICTORY PHYSICAL THERAPY & REHAB CLINIC

NPI Number 1760533483
LBN Legal business name VICTORY PHYSICAL THERAPY & REHAB CLINIC
Authorized official AYODEJI FAMUYIDE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 03/25/2008 - About 18 years ago
Identifiers n/a
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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