# LAKE AREA REHABILITATION SERVICES, INC.

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

## Provider details

- **NPI number:** 1417179748
- **Authorized official:** MR. JERRY G. WORLEY P.T. (DIRECTOR)
- **Authorized official phone:** (337) 477-9292

## Contact information

- **Practice address:** 1909 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4132
- **Practice address phone:** (337) 477-9292
- **Practice address fax:** (337) 477-9268
- **Mailing address:** 1909 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4132
- **Mailing address phone:** (337) 477-9292
- **Mailing address fax:** (337) 477-9268

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 10/02/2007