Organization Name: | SOUTHWEST LOUISIANA SPORTS AND REHABILITATION CENTER, LLC |
NPI Number: | 1841357761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS THIBODEAUX (OWNER) |
Mailing Address: | 646 W Mcneese St Lake Charles |
State: | LA US |
Postal Code: | 706055558 |
Phone Number: | 3376168099 |
Fax Number: | 3378245494 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
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 |