Provider Demographics
NPI:1316972946
Name:SALTZMAN, FLOYD (PT)
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 NELSON ROAD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LAKE CHARLES.
Mailing Address - State:LA
Mailing Address - Zip Code:70605
Mailing Address - Country:US
Mailing Address - Phone:337-494-7546
Mailing Address - Fax:337-494-7548
Practice Address - Street 1:4080 NELSON ROAD
Practice Address - Street 2:SUITE 500
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-494-7546
Practice Address - Fax:337-494-7548
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPT01018225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1396800587OtherNPI FOR CLINIC