Individual
ROBERT B TISDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
28977 WALKER SOUTH ROAD, STE G, WALKER, LA 70785
(225) 271-8056
(225) 767-8757
Mailing address
10334 SPRINGDALE AVE, BATON ROUGE, LA 70810-0733
(225) 754-2974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07062
LA
Other
Enumeration date
06/29/2007
Last updated
02/02/2009
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