Organization
PHYSIOFIT LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BARGAINER (CFO)
(423) 238-8923
Entity
Organization
Contact information
Practice address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
(985) 231-6475
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/05/2019
Last updated
04/06/2021
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