Individual
GARY NEIL BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
235 CANAL STREET, ARNAUDVILLE, LA 70512
(337) 754-7777
(337) 754-7773
Mailing address
PO BOX 250, 235 CANAL STREET, ARNAUDVILLE, LA 70512
(337) 754-7777
(337) 754-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LAPT 01633
LA
Other
Enumeration date
12/14/2006
Last updated
03/29/2011
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