Amanda Minyard Vidrine in Opelousas - Physical Therapy Assistant

Amanda Minyard Vidrine - NPI 1336362664

Amanda Minyard Vidrine is a Physical Therapy Assistant in Opelousas, Louisiana. Amanda Minyard Vidrine practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Amanda Minyard Vidrine is 1336362664. The last update date is 2007-07-08.

Amanda Minyard Vidrine's current location address is 4027 I 49 S Service Rd, Opelousas, Louisiana. You can contact this provider via phone number 3379484212 and fax number 3379429979. The mailing address for Amanda Minyard Vidrine is 4027 I 49 S Service Rd, Opelousas, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda Minyard Vidrine
Address 4027 I 49 S Service Rd, Opelousas, Louisiana
Phone Number 3379484212
Fax Number 3379429979
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1336362664
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4027 I 49 S Service Rd
City Opelousas
State Louisiana (LA)
Post Code 705700757
Phone Number 3379484212
Fax Number 3379429979

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A6821
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A6821 LA PTA LICENSE #

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FAQs about Amanda Minyard Vidrine

What is the unique identifier code issued to Amanda Minyard Vidrine by the Centers for Medicare & Medicaid Services (CMS)?

The Amanda Minyard Vidrine has been assigned the NPI (National Provider Identifier) 1336362664. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Amanda Minyard Vidrine is physically located?

The Amanda Minyard Vidrine is physically situated at the following address: 4027 I 49 S Service Rd, Opelousas, LA, 705700757.

What is the area of specialization for Amanda Minyard Vidrine, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Amanda Minyard Vidrine is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

When did Amanda Minyard Vidrine receive its 1336362664 assignment?

The Amanda Minyard Vidrine was assigned its 1336362664 on 2007-04-11, which is the date when this unique identifier was issued to the organization.

When was the Amanda Minyard Vidrine's information last updated?

The Amanda Minyard Vidrine's information was last updated on 2007-07-08.

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