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Ime Udom, PT, DPT, PHD

NPI 1881746766 · on the registry since 2007

Practice

Address
5108 Hwy 56
Chauvin, LA 70344
Phone
(985) 594-8332
Fax
(985) 594-8389
Organisation at this address
Lifespan Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana