Organization
NORTHSHORE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC MICHAEL ENGOLIA PT, DPT, OCS (MANAGER, PHYSICAL THERAPIST)
(504) 655-2458
Entity
Organization
Contact information
Practice address
217 INTREPID DR, SLIDELL, LA 70458-9110
(504) 655-2458
Mailing address
217 INTREPID DR, SLIDELL, LA 70458-9110
(504) 655-2458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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