Organization
CORE PHYSICAL THERAPY AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENNAN BERNARD (PT/CO-PWNER)
(318) 868-6172
Entity
Organization
Contact information
Practice address
460 ASHLEY RIDGE BLVD STE 800, SHREVEPORT, LA 71106-7238
(318) 868-6172
(318) 868-6173
Mailing address
PO BOX 53614, LAFAYETTE, LA 70505-3614
(337) 233-7977
(337) 233-7978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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