MEDICARE: ARTHUR GORMAN KIRSCH III P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT06863	LA

General Provider Information

NPI Number	:	1578503082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR GORMAN KIRSCH III P.T.

Provider Business Mailing Address
First Line	:	2633 NAPOLEON AVE
Second Line	:	SUITE 615
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6357
Country	:	US
Telephone Number	:	504-895-0638
Fax Number	:	504-891-5676

Provider Business Practice Location Address
First Line	:	5008 W ESPLANADE AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-2551
Country	:	US
Telephone Number	:	504-885-9675
Fax Number	:	504-885-9664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

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