Individual
MR. DANIEL BORDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 POEYFARRE ST APT 265, NEW ORLEANS, LA 70130-3896
(337) 298-2293
Mailing address
201 ABALON CT, NEW ORLEANS, LA 70114-1375
(504) 214-2994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03076F
LA
Other
Enumeration date
06/11/2007
Last updated
06/16/2020
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