Healthcare Provider Details

I. General information

NPI: 1831617737
Provider Name (Legal Business Name): NEUROCOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 CRESTWOOD BLVD
COVINGTON LA
70433-6521
US

IV. Provider business mailing address

648 CRESTWOOD DRIVE
COVINGTON LA
70433
US

V. Phone/Fax

Practice location:
  • Phone: 985-805-2555
  • Fax: 985-400-5303
Mailing address:
  • Phone: 985-805-2555
  • Fax: 985-400-5303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RAMY EL KHOURY
Title or Position: MANAGER
Credential: M.D.
Phone: 281-236-0060