Organization
ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOLTON PT (PHYSICAL THERAPIST)
(225) 757-6133
Entity
Organization
Contact information
Practice address
9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
(225) 757-6133
(225) 757-6174
Mailing address
9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
(225) 757-6133
(225) 757-6174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06800
LA
Other
Enumeration date
07/21/2015
Last updated
07/28/2015
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