# MID CITY PHYSICAL THERAPY AND WELLNESS

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

## Provider details

- **NPI number:** 1235514142
- **Authorized official:** MR. GARY BORDES PTA (OWNER)
- **Authorized official phone:** (504) 258-5955

## Contact information

- **Practice address:** 4000 CANAL ST, NEW ORLEANS, LA 70119-6021
- **Practice address phone:** (504) 301-0577
- **Mailing address:** 4000 CANAL ST, NEW ORLEANS, LA 70119-6021
- **Mailing address phone:** (504) 301-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 07/22/2015