Organization
FLEUR DE LIS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WILBURN MOORE MPT (PHYSICAL THERAPIST)
(504) 943-8026
Entity
Organization
Contact information
Practice address
839 SPAIN ST, NEW ORLEANS, LA 70117-7824
(504) 943-8026
Mailing address
839 SPAIN ST, NEW ORLEANS, LA 70117-7824
(504) 943-8026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NONE
LA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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