BYRON BLACKWELL

BOGALUSA, LA
NPI1508259334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  PT07163R)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
Mr. BYRON BLACKWELL MPT
1202 SUNSET DR
BOGALUSA, LA 70427-8710
Phone number: 985-735-1426
Mailing Address
Mr. BYRON BLACKWELL MPT
1202 SUNSET DR
BOGALUSA, LA 70427-8710
Phone number: 985-735-1426
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