Organization
MAYO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEVIN MAYO PT (PHYSICAL THERAPIST/OWNER)
(318) 445-0040
Entity
Organization
Contact information
Practice address
12023 HIGHWAY 84 WEST, JENA, LA 71342
(318) 445-0040
Mailing address
4507 WENDOVER BLVD, ALEXANDRIA, LA 71303-2526
(318) 445-0040
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01246
LA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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