# CROSS GATES PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1972924041
- **Authorized official:** MS. SALLY ELIZABETH BURK PT (MEMBER)
- **Authorized official phone:** (985) 231-6480

## Contact information

- **Practice address:** 2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
- **Practice address phone:** (985) 231-6480
- **Practice address fax:** (985) 231-6482
- **Mailing address:** 2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
- **Mailing address phone:** (985) 231-6480
- **Mailing address fax:** (985) 231-6482

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 12/17/2013