Diane Alicia Ezernack in Baton Rouge - Physical Therapist

Diane Alicia Ezernack - NPI 1093845711

Diane Alicia Ezernack is a Physical Therapist in Baton Rouge, Louisiana. Diane Alicia Ezernack practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Diane Alicia Ezernack is 1093845711. The last update date is 2012-09-11.

Diane Alicia Ezernack's current location address is 10101 Park Rowe Ave, Baton Rouge, Louisiana. You can contact this provider via phone number 2257692200 and fax number 2257682185. The mailing address for Diane Alicia Ezernack is 10101 Park Rowe Ave, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Alicia Ezernack
Address 10101 Park Rowe Ave, Baton Rouge, Louisiana
Phone Number 2257692200
Fax Number 2257682185
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1093845711
Provider Enumeration Date 2007-03-06
Last Updated Date 2012-09-11

Provider Mailing Address Detail

Address 10101 Park Rowe Ave
City Baton Rouge
State Louisiana (LA)
Post Code 708101686
Phone Number 2257692200
Fax Number 2257682185

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 6806
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4H529C492 LA MEDICARE

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FAQs about Diane Alicia Ezernack

What is the unique 10-digit identifier code assigned to Diane Alicia Ezernack by the Centers for Medicare & Medicaid Services?

The Diane Alicia Ezernack has been issued the NPI (National Provider Identifier) 1093845711 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Diane Alicia Ezernack's facilities are situated?

The facilities of Diane Alicia Ezernack are physically located at the following address: 10101 Park Rowe Ave, Baton Rouge, LA, 708101686.

What is Diane Alicia Ezernack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diane Alicia Ezernack's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date did the Diane Alicia Ezernack receive its 1093845711 assignment from the Centers for Medicare & Medicaid Services?

The Diane Alicia Ezernack was assigned its 1093845711 by the Centers for Medicare & Medicaid Services on 2007-03-06.

When was the information related to Diane Alicia Ezernack most recently updated or refreshed?

The details pertaining to the Diane Alicia Ezernack, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-11.

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