| Organization Name: | NORTHLAKE NEUROREHAB CENTER |
| NPI Number: | 1942533864 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL FRANCISCO SALCEDO (NUEROPSYCHOLOGIST) |
| Mailing Address: | 60 Louis Prima Dr Suite A Covington |
| State: | LA US |
| Postal Code: | 704335903 |
| Phone Number: | 9858090929 |
| Fax Number: | 9858090223 |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1574 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |