Individual
MR. JOSHUA KEVIN BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-7079
Mailing address
1815 POPLAR ST, METAIRIE, LA 70005-1044
(504) 275-6320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08113
LA
2251N0400X
Neurology Physical Therapist
08113
LA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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