Provider Demographics
NPI:1821786112
Name:NEURAL PATHWAYS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NEURAL PATHWAYS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOURROUX
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:337-283-0334
Mailing Address - Street 1:1828 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-3142
Mailing Address - Country:US
Mailing Address - Phone:337-283-0334
Mailing Address - Fax:
Practice Address - Street 1:1828 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-3142
Practice Address - Country:US
Practice Address - Phone:337-258-1303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty