Mrs Tamara L Bordelon, PT | |
1325 Louisville Ave, Monroe, LA 71201-6021 | |
(318) 807-1500 | |
(318) 807-1504 |
Full Name | Mrs Tamara L Bordelon |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1325 Louisville Ave, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730192501 | NPI | - | NPPES |
104370500 | Other | LA | FED EMP W/C |
2387146 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 00718 (Louisiana) | Primary |
Provider Name | Affinity Health Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tamara L Bordelon, PT 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Mrs Tamara L Bordelon, PT 1325 Louisville Ave, Monroe, LA 71201-6021 Ph: (318) 807-1500 |
Angelle Gaunt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Cottonwood Dr, Monroe, LA 71201 Phone: 318-614-8929 Fax: 318-654-4359 | |
Mrs. Tara L Lasuzzo, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Mr. James Peyton Braswell, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1138 Oliver Rd, Monroe, LA 71201 Phone: 318-323-3031 | |
Alison L. Sanford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Sterlington Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8649 Highway 165 N Ste 5, Monroe, LA 71203 Phone: 318-503-9789 Fax: 318-267-0131 | |
Ability Lifecare, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1123 Forsythe Ave, Monroe, LA 71201 Phone: 318-340-6300 | |
Courtney Dye, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 Stubbs Ave, Monroe, LA 71201 Phone: 318-388-8414 |