Most Relevant Information
Provider Data
| NPI Number: | 1003173295 |
| Provider Name: | JOY BIRDWELL PETTY PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 04452 |
Most Important Dates
| Enumeration Date: | 04/12/2012 |
| Last Updated: | 02/03/2014 |
Provider Practice Location
1219 CHURCH ST
ZACHARY
LA
707912347
Practice Location Phone/Fax
| Phone: | 2256587751 |
| Fax: | 2256587753 |
Provider Mailing Location
1219 CHURCH ST
ZACHARY
LA
707912347
Provider Mailing Phone/Fax
| Phone: | 2256587751 |
| Fax: | 2256587753 |