# LAKE CHARLES SPORTS & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194301317
- **Authorized official:** NATALIE WALKER (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (337) 824-5488

## Contact information

- **Practice address:** 4150 NELSON RD STE 1, LAKE CHARLES, LA 70605-4148
- **Practice address phone:** (337) 824-5488
- **Mailing address:** 1322 ELTON RD STE I, JENNINGS, LA 70546-4100
- **Mailing address phone:** (337) 824-5488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2021
- **Last updated:** 03/22/2021