Organization
GUIDRY GOLF AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL GUIDRY DPT (OWNER)
(337) 274-3639
Entity
Organization
Contact information
Practice address
5200 HIGHWAY 22 STE 6, MANDEVILLE, LA 70471-2563
(337) 274-3639
(985) 792-7685
Mailing address
5200 HIGHWAY 22 STE 6, MANDEVILLE, LA 70471-2563
(337) 274-3639
(985) 792-7685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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