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Organization
SPINE AND BODY LLC
Active
Organization
SPINE AND BODY LLC
Active
Other names
Spine and Body
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN LOUVIERE (MANAGING MEMBER)
(985) 397-3788
Entity
Organization
Contact information
Practice address
8460 BLUEBONNET BLVD, SUITE B, BATON ROUGE, LA 70810-2823
(985) 397-3788
(225) 673-3286
Mailing address
18306 FOUNTAIN HILL BLVD, PRAIRIEVILLE, LA 70769-3053
(985) 397-3788
(225) 673-3286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04772F
LA
2251X0800X
Orthopedic Physical Therapist
04772F
LA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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