Organization
SOUTHERN CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D BOYD (PHYSICAL THERAPIST)
(985) 646-2440
Entity
Organization
Contact information
Practice address
1320 LAKEWOOD DR, SUITE D, SLIDELL, LA 70458-3168
(985) 646-2440
(985) 646-2847
Mailing address
1320 LAKEWOOD DR, SUITE D, SLIDELL, LA 70458-3168
(985) 646-2440
(985) 646-2847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04736R
LA
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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