Healthcare Provider Details
I. General information
NPI: 1043836141
Provider Name (Legal Business Name): REHAB PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2020
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1242 S MORRISON BLVD STE O
HAMMOND LA
70403-5702
US
IV. Provider business mailing address
1242 S MORRISON BLVD STE O
HAMMOND LA
70403-5702
US
V. Phone/Fax
- Phone: 985-402-3103
- Fax:
- Phone: 985-402-3103
- Fax: 985-247-8229
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
ARD
Title or Position: CLINIC MANAGER
Credential: BCPA, HITCM-PM
Phone: 985-402-3103