Organization
STAR PHYSICAL THERAPY NOE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI BATES PT (MANAGER)
(504) 243-6777
Entity
Organization
Contact information
Practice address
340 FALCONER DR, COVINGTON, LA 70433-8204
(985) 893-2845
(985) 893-2654
Mailing address
5931 BULLARD AVE STE 6, NEW ORLEANS, LA 70128-2817
(504) 243-6777
(504) 243-6736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09469
LA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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