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Organization
NORTHEAST LOUISIANA REHABILITATION
Active
Organization
NORTHEAST LOUISIANA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY SCARBOROUGH ECKHARDT MOT, LOTR, PT, DPT (PHYSICAL AND OCCUPATIONAL THERAPIST)
(318) 620-0075
Entity
Organization
Contact information
Practice address
204 BOOTS DR, FARMERVILLE, LA 71241-3102
(318) 620-0075
(318) 620-0070
Mailing address
246 ALONZO RD, WEST MONROE, LA 71291-1731
(318) 620-0075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
PT 08698
LA
261QR0400X
Rehabilitation Clinic/Center
OTT.200620
LA
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
02/21/2015
Last updated
11/22/2024
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