| Organization Name: | PREMIER REHAB & AQUATICS |
| NPI Number: | 1356319552 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN VINCE TASSIN (PHYSICAL THERAPIST) |
| Mailing Address: | 7015 Hwy 190 E Serv Rd Suite 103 Covington |
| State: | LA US |
| Postal Code: | 704334960 |
| Phone Number: | 9858938285 |
| Fax Number: | 9858938288 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 00211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |