Individual
EMILY R BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7406 HIGHWAY 1 STE 102, MANSURA, LA 71350-4204
(318) 240-7680
(318) 240-7681
Mailing address
2002 JOHNSON ST STE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8539
LA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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