| NPI | 1144640442 |
|---|---|
| Other Name | SOUTHERN REHAB |
| Entity Type | Organization |
| Authorized Contact | BRENT M ROBERTSON Officer/ Agent / Physical Therapist 504-628-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 08652) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-05-12 |