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Organization
BOURGEOIS PHYSICAL THERAPY AND SPORTS REHAB LLC
Active
Organization
BOURGEOIS PHYSICAL THERAPY AND SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN BENEDICT BOURGEOIS PT (PHYSICAL THERAPIST/OWNER)
(225) 744-4878
Entity
Organization
Contact information
Practice address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Mailing address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
02/03/2015
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