Bienville Therapy, LLC

NPI #1720844392 in Vancleave, Mississippi

Provider Information

NPI Number: 1720844392
Entity Type: Organization
Organization Name: Bienville Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 22, 2024
Last Updated: Apr 17, 2025

Practice Location

Address: 6300 E LAKE BLVD STE 101
City: Vancleave
State: Mississippi
ZIP Code: 39565-6771
Phone: (228) 230-2663

Authorized Official

Name: LEE BOND
Title: CEO
Phone: (228) 230-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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