Individual
KIMBERLY CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
625 S BURNSIDE AVE, UNIT #9, GONZALES, LA 70737-3400
(225) 644-8510
(225) 644-9736
Mailing address
625 S BURNSIDE AVE, UNIT #9, GONZALES, LA 70737-3400
(225) 644-8510
(225) 644-9736
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT06794
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3A685C811
MEDICARE GROUP MEMBER PTAN
LA
Enumeration date
09/13/2007
Last updated
07/29/2008
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