Organization
SOUTHSHORE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND CHARLES COURET JR. P.T. (OWNER/PHYSICAL THERAPIST)
(504) 885-8969
Entity
Organization
Contact information
Practice address
3515 HESSMER AVE, METAIRIE, LA 70002-4730
(504) 885-8969
(504) 885-9190
Mailing address
3515 HESSMER AVE, METAIRIE, LA 70002-4730
(504) 885-8969
(504) 885-9190
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
04415
LA
Other
Enumeration date
07/23/2006
Last updated
01/23/2018
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