Individual
RYAN BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 FLORIDA AVE, SLIDELL, LA 70458-2923
(985) 280-9355
Mailing address
527 TANGLEWOOD DR, SLIDELL, LA 70458-1760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09069
LA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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