Organization
MIDLINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCILET BOUDREAUX DPT (OWNER)
(318) 542-8281
Entity
Organization
Contact information
Practice address
1500 LOBDELL AVE STE B, BATON ROUGE, LA 70806-8280
(318) 542-8281
Mailing address
1500 LOBDELL AVE STE B, BATON ROUGE, LA 70806-8280
(318) 542-8281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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