Organization
PHYSIO NOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED GLICK DPT (OWNER/PROVIDER)
(206) 953-4646
Entity
Organization
Contact information
Practice address
1772 PRYTANIA ST STE 101, NEW ORLEANS, LA 70130-5261
(206) 953-4646
Mailing address
1772 PRYTANIA ST STE 101, NEW ORLEANS, LA 70130-5261
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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