# ST. BERNARD PHYSICAL THERAPY CLINIC, INC.

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

## Provider details

- **NPI number:** 1225350192
- **Authorized official:** DR. RANJAN SHETYE P.T., DPT, OCS (PRESIDENT)
- **Authorized official phone:** (504) 957-6722

## Contact information

- **Practice address:** 317 W GENIE ST, CHALMETTE, LA 70043-2127
- **Practice address phone:** (504) 271-6778
- **Practice address fax:** (504) 333-6770
- **Mailing address:** 317 W GENIE ST, CHALMETTE, LA 70043-2127
- **Mailing address phone:** (504) 271-6778
- **Mailing address fax:** (504) 333-6770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 00112R | LA | Yes |

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 03/08/2010