Organization
CROSS GATES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY ELIZABETH BURK PT (MEMBER)
(985) 231-6480
Entity
Organization
Contact information
Practice address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
(985) 231-6480
(985) 231-6482
Mailing address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
(985) 231-6480
(985) 231-6482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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