Individual
MISS MICHELLE LYNN GINSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
671 W ESPLANADE AVE, SUITE 100, KENNER, LA 70065-2794
(504) 467-5900
(504) 467-7272
Mailing address
4921 AIRLINE DR, METAIRIE, LA 70001-5664
(504) 889-2663
(504) 889-5615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04464
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124171673
MEDICARE UNSPECIFIED
LA
Enumeration date
01/19/2007
Last updated
04/02/2008
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