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Organization
ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC
Active
Organization
ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOLTON PT (PHYSICAL THERAPIST)
(225) 757-6133
Entity
Organization
Contact information
Practice address
9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
(225) 757-6133
(225) 757-6174
Mailing address
9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
(225) 757-6133
(225) 757-6174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06800
LA
Other
Enumeration date
07/21/2015
Last updated
07/28/2015
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