Healthcare Provider Details
I. General information
NPI: 1992855035
Provider Name (Legal Business Name): RHODES REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2007
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 SCHOOL STREET
HOUMA LA
70360
US
IV. Provider business mailing address
1605 HARVEST DRIVE
HOUMA LA
70360
US
V. Phone/Fax
- Phone: 985-872-3285
- Fax: 985-872-3205
- Phone: 985-872-3285
- Fax: 985-872-3205
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | LA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | LA |
VIII. Authorized Official
Name: MRS.
HEIDI
SPEARMAN
RHODES
Title or Position: OWNER
Credential: OTR
Phone: 985-872-3285