Organization
ORTHOPEDIC & SPORTS THERAPY OF KENNER, INC.
Active
Other names
Kenner Orthopedic & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG M GOODWIN PT (PRESIDENT)
(504) 443-5152
Entity
Organization
Contact information
Practice address
3921 WILLIAMS BLVD, KENNER, LA 70065
(504) 443-5152
(504) 443-5151
Mailing address
3921 WILLIAMS BLVD, KENNER, LA 70065
(504) 443-5152
(504) 443-5151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
04/03/2014
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