EDWARD KEVIN MIZELL

COVINGTON, LA
NPI1669900858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  000616)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
EDWARD KEVIN MIZELL PT
1414 S TYLER ST
COVINGTON, LA 70433-2334
Phone number: 985-894-4622
Mailing Address
EDWARD KEVIN MIZELL PT
1414 S TYLER ST
COVINGTON, LA 70433-2334
Phone number:
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