Organization
FUNXIONAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE GAUBERT DPT (OWNER)
(985) 438-7318
Entity
Organization
Contact information
Practice address
3000 KINGMAN ST STE 210, METAIRIE, LA 70006-6633
(985) 438-7318
Mailing address
1821 BURDETTE ST, NEW ORLEANS, LA 70118-4106
(985) 438-7318
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205328200
NPI NUMBER
LA
Enumeration date
07/29/2021
Last updated
07/29/2021
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