# SOUTHERN CARE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1861415945
- **Authorized official:** BRIAN D BOYD (PHYSICAL THERAPIST)
- **Authorized official phone:** (985) 646-2440

## Contact information

- **Practice address:** 1320 LAKEWOOD DR, SUITE D, SLIDELL, LA 70458-3168
- **Practice address phone:** (985) 646-2440
- **Practice address fax:** (985) 646-2847
- **Mailing address:** 1320 LAKEWOOD DR, SUITE D, SLIDELL, LA 70458-3168
- **Mailing address phone:** (985) 646-2440
- **Mailing address fax:** (985) 646-2847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 04736R | LA | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 08/22/2020