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Search › Louisiana › 208100000X

Matthew Ezernack

NPI 1912699547 · on the registry since 2023

Practice

Address
4080 Nelson Rd Ste 500
Lake Charles, LA 70605
Phone
(337) 494-7546
Organisation at this address
Primary Rehabilitation Services, Inc.
Action Potential Physical Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-23

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