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Organization

ROOTS PHYSICAL THERAPY AND MOVEMENT STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA WAYMIRE PHYSICAL THERAPIST (OWNER)
(928) 890-9442
Entity
Organization

Contact information

Practice address
3161 BURGUNDY ST, NEW ORLEANS, LA 70117-6704
(928) 890-9442
Mailing address
3161 BURGUNDY ST, NEW ORLEANS, LA 70117-6704
(928) 890-9442

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
Q8241R
LA

Other

Enumeration date
08/09/2018
Last updated
09/14/2018
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