OrganizationActive
Core Physical Therapy, LLC
NPI 1548659840 · Physical Therapy Clinic/Center · Vidalia, LA
Provider details
- NPI number
- 1548659840
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Milah Mcgraw, Bus Manager(318) 336-5400
- License
- 09009R (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4616 Highway 84 W
Vidalia, LA 71373
Phone: (318) 336-5400
Fax: (318) 336-8621
Approximate (ZIP-level) locationGet directions
Mailing address
4616 Highway 84 W
Vidalia, LA 71373-3357
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.