Organization Name: | CANAL THERAPY CENTER LLC |
NPI Number: | 1720224090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELECTO SPENGLER CRUZ (PRESIDENT/OWNER) |
Mailing Address: | 3826 Canal St New Orleans |
State: | LA US |
Postal Code: | 701196037 |
Phone Number: | 5044840848 |
Fax Number: | 5044840849 |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |