Individual
BRYAN SOULIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12371 HIGHWAY 90, SUITE D, LULING, LA 70070-5125
(985) 331-1001
(985) 331-1005
Mailing address
12371 HIGHWAY 90, SUITE D, LULING, LA 70070-5125
(985) 331-1001
(985) 331-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1782114
—
LA
Enumeration date
02/10/2006
Last updated
07/08/2007
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