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1275823320
CALCASIEU REHAB AND SPORTS THERAPY
LAKE CHARLES, LA
NPI
1275823320
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Entity Type
Organization
Authorized Contact
MICHAEL V MOSS
Physical Therapist
337-217-0997
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA 00591)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
CALCASIEU REHAB AND SPORTS THERAPY
217 SAM HOUSTON JONES PKWY STE 103
LAKE CHARLES, LA 70611-5644
Phone number: 337-217-0997
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Mailing Address
CALCASIEU REHAB AND SPORTS THERAPY
2100 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-310-5116
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