Doctor Name: | GARY NEIL BORDELON |
NPI Number: | 1528120011 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | LAPT 01633 |
Business Practice Address: | 235 Canal Street Arnaudville, LA - 70512 |
Business Phone Number: | 3377547777 |
Business Fax Number: | 3377547773 |
Mailing Address: | Po Box 250, 235 Canal Street ARNAUDVILLE |
State: | LA |
Postal Code: | 70512 |
Phone Number: | 3377547777 |
Fax Number: | 3377547773 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | LAPT 01633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |