Tamara L Bordelon in Monroe - Physical Therapist
Tamara L Bordelon - NPI 1730192501
Tamara L Bordelon is a Physical Therapist in Monroe, Louisiana. Tamara L Bordelon practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tamara L Bordelon is 1730192501. The last update date is 2019-06-13.
Tamara L Bordelon's current location address is 130 Desiard St Ste 355, Monroe, Louisiana. You can contact this provider via phone number 3188077875 and fax number 3188126603. The mailing address for Tamara L Bordelon is 130 Desiard St Ste 355, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara L Bordelon |
|---|---|
| Address | 130 Desiard St Ste 355, Monroe, Louisiana |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1730192501 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2019-06-13 |
Provider Mailing Address Detail
| Address | 130 Desiard St Ste 355 |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712017363 |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 718 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104370500 | LA | FED EMP W/C | |
| 2387146 | LA | -- |
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What is the unique identifier code issued to Tamara L Bordelon by the Centers for Medicare & Medicaid Services (CMS)?
The Tamara L Bordelon has been assigned the NPI (National Provider Identifier) 1730192501. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tamara L Bordelon located?
The Tamara L Bordelon is located at 130 Desiard St Ste 355, Monroe, LA 712017363.
What is Tamara L Bordelon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tamara L Bordelon is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date was the 1730192501 assigned to Tamara L Bordelon?
The Tamara L Bordelon was issued its 1730192501 on 2006-08-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tamara L Bordelon's information last updated?
The Tamara L Bordelon's information was last updated on 2019-06-13.