Bmmg, LLC
NPI #1083088520 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1083088520
- Entity Type
- Organization
- Organization Name
- Bmmg, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 20, 2015
- Last Updated
- Nov 20, 2015
Practice Location
- Address
- 6030 LINE AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-2062
- Phone
- (318) 742-3408
Authorized Official
- Name
- MR. MATTHEW FRANZ ST. AMANT
- Title
- MEMBER
- Phone
- (318) 742-3408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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