| NPI | 1750514113 |
|---|---|
| Doing Business As | BEAVER CREEK HEALTH & REHAB |
| Entity Type | Organization |
| Authorized Contact | RICHIE REED ROTH President 225-664-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04489R) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |