# CITY PARK PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003178393
- **Authorized official:** MRS. CHERIE CHATELAIN ROSE OT (VICE PRESIDENT)
- **Authorized official phone:** (504) 309-5811

## Contact information

- **Practice address:** 5559 CANAL BLVD., NEW ORLEANS, LA 70124-2745
- **Practice address phone:** (504) 309-5811
- **Practice address fax:** (504) 309-5877
- **Mailing address:** 5559 CANAL BOULEVARD, NEW ORLEANS, LA 70124-2745
- **Mailing address phone:** (504) 309-5811
- **Mailing address fax:** (504) 309-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | — |
| 224Y00000X | Clinical Exercise Physiologist | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2255A2300X | Athletic Trainer | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 08/23/2013