Organization
WELLNESS PHYSICAL THERAPY OF SLIDELL, LLC
Active
Other names
Wellness Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI A BARRON (OFFICE MANAGER)
(985) 649-6577
Entity
Organization
Contact information
Practice address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
(985) 649-7615
Mailing address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
(985) 649-7615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H8100
BLUE CROSS
LA
Enumeration date
09/20/2007
Last updated
03/05/2008
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