# BLUE WAVE PHYSICAL THERAPY AND WELLNESS

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

## Provider details

- **NPI number:** 1932623139
- **Authorized official:** MRS. CATHERINE D COURTNEY PT (OWNER)
- **Authorized official phone:** (504) 313-6502

## Contact information

- **Practice address:** 3100 KINGMAN ST STE 103, METAIRIE, LA 70006-5419
- **Practice address phone:** (504) 313-6502
- **Practice address fax:** (504) 313-3910
- **Mailing address:** 2117 VETERANS MEMORIAL BLVD STE 313, METAIRIE, LA 70002-6321
- **Mailing address phone:** (504) 313-6502

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 11/04/2020