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Contact Information

ROBERT B TISDALL, DPT
28977 WALKER SOUTH ROAD
STE G
WALKER, LA70785
 Phone: 225-271-8056
 Fax: 225-767-8757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROBERT B TISDALL · (Male)

NPI Number 1174720528
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 06/29/2007
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 07062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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