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General NPI Number Information
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NPI Number | 1679670012
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Entity Type | Organization
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Legal Business Name | WORK RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4405 NORTH 1 10 SERVICE ROAD SUITE 300
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City | METAIRIE
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State | LA
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Zip | 70006
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Country | US
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Telephone | 504-780-1555
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Fax | 504-780-1559
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Provider Business Mailing Address
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Address Line | 4405 NORTH 1 10 SERVICE ROAD SUITE 300
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City | METAIRIE
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State | LA
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Zip | 70006
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Country | US
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Telephone | 504-780-1555
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Fax | 504-780-1559
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Authorized Official
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Title or Position | OWNER
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Name | MISS COURTNEY L ROBERTS
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Credential | PT,DPT
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Telephone | 504-780-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT06916
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License Number State | LA
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