Organization
XTREME PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH SIMPSON P.T. (PHYSICAL THERAPIST)
(504) 374-0015
Entity
Organization
Contact information
Practice address
3300 BEHRMAN PL, NEW ORLEANS, LA 70114-8215
(504) 374-0015
(504) 374-0016
Mailing address
3300 BEHRMAN PL, NEW ORLEANS, LA 70114-8215
(504) 374-0015
(504) 374-0016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179701
—
LA
Enumeration date
03/19/2007
Last updated
08/19/2010
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