Organization
THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSELITO MERCADO PT (VICE PRESIDENT)
(318) 398-9675
Entity
Organization
Contact information
Practice address
100 SOUTH 2ND STREET, MONROE, LA 71201
(318) 398-9675
(318) 398-9295
Mailing address
PO BOX 2467, MONROE, LA 71207-2467
(318) 398-9675
(318) 398-9295
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
LA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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