Individual
KELLY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 JEFFERSON HWY, HARAHAN, LA 70123-5111
(504) 733-0254
Mailing address
5606 JEFFERSON HWY, HARAHAN, LA 70123-5111
(504) 733-0254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06676
LA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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