Organization
BLUE WAVE PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE D COURTNEY PT (OWNER)
(504) 313-6502
Entity
Organization
Contact information
Practice address
3100 KINGMAN ST STE 103, METAIRIE, LA 70006-5419
(504) 313-6502
(504) 313-3910
Mailing address
2117 VETERANS MEMORIAL BLVD STE 313, METAIRIE, LA 70002-6321
(504) 313-6502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
11/04/2020
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