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Ime Emerson Udom (PT, DPT, PHD)

Dr. Ime Emerson Udom (PT, DPT, PHD) is a health care provider specializes in Physical Therapist. He is associated with medical group practice LIFESPAN PHYSICAL THERAPY, LLC.

profile-icon Basic Information

Practice Location 5108 Hwy 56, Chauvin, LA 70344-8316, US
Practice Location Phone985-594-8332
Practice Location Fax985-594-8389
GenderMale
Specialty InPhysical Therapist
Medical SchoolOther
Graduation Year1988
NPI ?1881746766
PECOS ID7911003355
Enrollment IDI20100914000513
Entity TypeIndividual
Enumeration Date ? Jan 18, 2007
Last Update Date ? Aug 16, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Ime Emerson Udom

SpecialtySpecializationLicenseLicense State
Physical Therapist 02072FLouisiana

Medicare-icon Medicare Participation of Ime Emerson Udom

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Ime Emerson Udom

Medical Group PracticeLifespan Physical Therapy, Llc