Provider Demographics
NPI:1417395195
Name:CASER, LOUVERIE JOY ROSANA (PT)
Entity Type:Individual
Prefix:
First Name:LOUVERIE JOY
Middle Name:ROSANA
Last Name:CASER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LOUVERIE JOY
Other - Middle Name:APOLINAR
Other - Last Name:ROSANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:803 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28098
Mailing Address - Country:US
Mailing Address - Phone:704-233-3070
Mailing Address - Fax:
Practice Address - Street 1:803 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:NC
Practice Address - Zip Code:28098-1214
Practice Address - Country:US
Practice Address - Phone:704-233-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034908225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist