Provider Demographics
NPI:1124390570
Name:CORMIER, ARTHUR ARA (PT, ESQ)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:ARA
Last Name:CORMIER
Suffix:
Gender:M
Credentials:PT, ESQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 SEVERN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7407
Mailing Address - Country:US
Mailing Address - Phone:504-888-7333
Mailing Address - Fax:504-888-1052
Practice Address - Street 1:3340 SEVERN AVE STE 300
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7407
Practice Address - Country:US
Practice Address - Phone:504-888-7333
Practice Address - Fax:504-888-1052
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA03262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist