Healthcare Provider Details

I. General information

NPI: 1013994771
Provider Name (Legal Business Name): RONALD F. HELWIG PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 JEFFERSON HWY
HARAHAN LA
70123-5111
US

IV. Provider business mailing address

5606 JEFFERSON HWY
HARAHAN LA
70123-5111
US

V. Phone/Fax

Practice location:
  • Phone: 504-733-0254
  • Fax: 504-734-8869
Mailing address:
  • Phone: 504-733-0254
  • Fax: 504-734-8869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 04386
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: