Provider Demographics
NPI:1992182430
Name:CODY, LAUDREY BROWNELL III (DPT)
Entity Type:Individual
Prefix:MR
First Name:LAUDREY
Middle Name:BROWNELL
Last Name:CODY
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4621 WEST NAPOLEON AVENUE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2478
Mailing Address - Country:US
Mailing Address - Phone:504-889-1193
Mailing Address - Fax:504-889-1194
Practice Address - Street 1:4621 WEST NAPOLEON AVENUE
Practice Address - Street 2:SUITE #101
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2478
Practice Address - Country:US
Practice Address - Phone:504-889-1193
Practice Address - Fax:504-889-1194
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
09029OtherPT STATE LICENSE