OrganizationActive
All South Professional Services
NPI 1558580696 · Physical Therapist · Kenner, LA
Provider details
- NPI number
- 1558580696
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Crystal Bonura, Physical Therapist(504) 909-8773
- License
- 04130 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5624 Erlanger Rd
Kenner, LA 70065-1564
Phone: (504) 301-1310
Fax: (504) 466-6367
Approximate (ZIP-level) locationGet directions
Mailing address
5624 Erlanger Rd
Kenner, LA 70065-1564
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.