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Organization

EVOLVE PHYSICAL THERAPY AND SPORTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT JOEL BOLTON PT (OWNER/PHYSICAL THERAPIST)
(225) 931-8269
Entity
Organization

Contact information

Practice address
215 STARING LN, BATON ROUGE, LA 70810-4064
(225) 931-8269
Mailing address
2334 UNIVERSITY CLUB DR, BATON ROUGE, LA 70810-0441
(225) 931-8269

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
01/01/2019
Last updated
01/01/2019
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