Individual
CODY MIGLIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1972 ORMOND BLVD, DESTREHAN, LA 70047-3818
(985) 307-0925
Mailing address
4208 LEMON ST, METAIRIE, LA 70006-2664
(504) 655-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10641
LA
Other
Enumeration date
06/14/2020
Last updated
08/06/2020
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