Individual
RONDELL N BOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1150 ROBERT BLVD STE 232, SLIDELL, LA 70458-2005
(985) 641-2996
(985) 259-4349
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11258
LA
Other
Enumeration date
04/15/2022
Last updated
06/09/2022
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