Healthcare Provider Details
I. General information
NPI: 1740813534
Provider Name (Legal Business Name): R&R REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2020
Last Update Date: 11/06/2021
Certification Date: 11/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3960 FLORIDA ST STE 3
MANDEVILLE LA
70448-3340
US
IV. Provider business mailing address
1140 AVENUE SAINT GERMAIN
COVINGTON LA
70433-6433
US
V. Phone/Fax
- Phone: 504-782-6659
- Fax:
- Phone: 504-782-6659
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
DENNIS
ROMIG
Title or Position: PHYSICAL THERAPIST, OWNER
Credential: PT
Phone: 504-782-6659