Individual
RYAN SETH PHILIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4038 PONTCHARTRAIN DR, SLIDELL, LA 70458-5136
(985) 641-2996
(985) 643-2307
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09913
LA
225100000X
Physical Therapist
LPT-30254
AZ
Other
Enumeration date
06/19/2018
Last updated
08/23/2020
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