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Organization
XTREME PHYSICAL THERAPY EAST
Active
Organization
XTREME PHYSICAL THERAPY EAST
Active
Other names
Xtreme Physical Therapy East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SIMPSON P.T. (PHYSICAL THERAPIST/OWNER)
(504) 374-0015
Entity
Organization
Contact information
Practice address
5555 BULLARD AVE, SUITE 102, NEW ORLEANS, LA 70128-3450
(504) 374-0015
(504) 374-0016
Mailing address
5555 BULLARD AVE, SUITE 102, NEW ORLEANS, LA 70128-3450
(504) 374-0015
(504) 374-0016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01248
LA
Other
Enumeration date
04/20/2012
Last updated
05/11/2012
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