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Organization

BOURGEOIS PHYSICAL THERAPY AND SPORTS REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN BENEDICT BOURGEOIS PT (PHYSICAL THERAPIST/OWNER)
(225) 744-4878
Entity
Organization

Contact information

Practice address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879
Mailing address
17135 RONALD RD, PRAIRIEVILLE, LA 70769-4168
(225) 744-4878
(225) 744-4879

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/13/2014
Last updated
02/03/2015
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