Provider Demographics
NPI:1891401444
Name:PRIOLA, SYDNEY (DPT)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:PRIOLA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W THOMAS ST STE C
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3272
Mailing Address - Country:US
Mailing Address - Phone:985-788-8960
Mailing Address - Fax:
Practice Address - Street 1:12110 S HARRELLS FERRY RD STE 200
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2426
Practice Address - Country:US
Practice Address - Phone:225-372-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11252261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy