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Individual

RICHARD BRIAN COOGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., AT,C.

Contact information

Practice address
3901 HOUMA BLVD, STE 300, METAIRIE, LA 70006-2930
(504) 885-0007
(504) 455-0605
Mailing address
525 PHOSPHOR AVE, METAIRIE, LA 70005-3233
(504) 838-6061

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00416R
LICENSE #
LA
Enumeration date
08/25/2006
Last updated
02/11/2010
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