Organization Name: | JOY REHAB CORP |
NPI Number: | 1154631836 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE WILSON (ADMINISTRATOR ASSISTANT) |
Mailing Address: | 108 E Sanders St Gonzales |
State: | LA US |
Postal Code: | 707373144 |
Phone Number: | 2256440169 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 04216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |