Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 08099 | LA |
N | 2251E1200X | Ergonomics | 08099 | LA |
N | 225XE1200X | Ergonomics | 08099 | LA |
N | 2251G0304X | Physical Therapist - Geriatrics | 08099 | LA |
N | 2251S0007X | Physical Therapist - Sports | 08099 | LA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 08099 | LA |
NPI | 1295007680 |
---|---|
Provider Name | Mr. Paul Steven Gallant JR. |
First Address | New Orleans, LA 70118-3509 |
Second Address | New Orleans, LA 70119-6024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2012 |
Last Update Date | 10/07/2012 |