Individual
RODERICK STEWART BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4633 WICHERS DR, MARRERO, LA 70072-3064
(504) 347-0733
(504) 378-3929
Mailing address
4633 WICHERS DR, MARRERO, LA 70072-3064
(504) 347-0733
(504) 378-3929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04538R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04538R
PHYSICAL THERAPY LICENSE
LA
Enumeration date
07/06/2006
Last updated
07/08/2007
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