Healthcare Provider Details

I. General information

NPI: 1669881827
Provider Name (Legal Business Name): NEIL ROMIG DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2014
Last Update Date: 08/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 HOUMA BLVD SUITE 21
METAIRIE LA
70006-2931
US

IV. Provider business mailing address

3939 HOUMA BLVD SUITE 21
METAIRIE LA
70006-2931
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-6464
  • Fax: 504-885-8993
Mailing address:
  • Phone: 504-885-6464
  • Fax: 504-885-8993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number08561
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: