Individual
EDWIN M. MAYO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3434 HOUMA BLVD, METAIRIE, LA 70006-4200
(504) 888-4037
Mailing address
81 GRANADA DR, KENNER, LA 70065-3144
(504) 931-6476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02959F
LA
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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