Provider Demographics
NPI:1790059442
Name:NORFLEET, PAMELA C (PT, MBA)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:C
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:PT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-3203
Mailing Address - Country:US
Mailing Address - Phone:504-920-8156
Mailing Address - Fax:
Practice Address - Street 1:115 LAUREL CT
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-3203
Practice Address - Country:US
Practice Address - Phone:504-920-8156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist