Provider Demographics
NPI:1497132070
Name:IN-HOME PHYSICAL THERAPY
Entity Type:Organization
Organization Name:IN-HOME PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:DEANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:225-978-8799
Mailing Address - Street 1:9287 BATTLE RD
Mailing Address - Street 2:
Mailing Address - City:ETHEL
Mailing Address - State:LA
Mailing Address - Zip Code:70730-4012
Mailing Address - Country:US
Mailing Address - Phone:225-978-8799
Mailing Address - Fax:
Practice Address - Street 1:2301 SEVERN AVE
Practice Address - Street 2:B309
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1949
Practice Address - Country:US
Practice Address - Phone:225-978-8799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-02
Last Update Date:2015-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy