Individual
RYAN GUILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
504 RUE DE SANTE, LA PLACE, LA 70068-5418
(985) 652-9515
Mailing address
504 RUE DE SANTE, LA PLACE, LA 70068-5418
(985) 652-9515
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
10019
LA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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