Individual
MR. PHILIP B ARDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E MAIN ST, VILLE PLATTE, LA 70586-4618
(337) 360-9711
Mailing address
3686 FAUBOURG RD, WASHINGTON, LA 70589-5511
(337) 360-9711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311201
—
LA
Enumeration date
08/16/2007
Last updated
08/16/2007
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