Organization
GUILLORY'S THERAPY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TOBEN GUILLORY OT (OWNER)
(318) 323-1110
Entity
Organization
Contact information
Practice address
1014 N 4TH ST, MONROE, LA 71201-5508
(318) 323-1110
(318) 323-1510
Mailing address
1014 N 4TH ST, MONROE, LA 71201-5508
(318) 323-1110
(318) 323-1510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
261QP2000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438358561B
BCBS
LA
Enumeration date
10/11/2006
Last updated
05/12/2020
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