Provider Demographics
NPI:1215583018
Name:ONE ON ONE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:ONE ON ONE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COPARTNER/PT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:337-234-5541
Mailing Address - Street 1:515B VEROT SCHOOL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5271
Mailing Address - Country:US
Mailing Address - Phone:337-234-5541
Mailing Address - Fax:337-593-8330
Practice Address - Street 1:515B VEROT SCHOOL RD STE 1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5271
Practice Address - Country:US
Practice Address - Phone:337-234-5541
Practice Address - Fax:337-593-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty