# NORTHEAST LOUISIANA REHABILITATION

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

## Provider details

- **NPI number:** 1417349929
- **Authorized official:** CASEY SCARBOROUGH ECKHARDT MOT, LOTR, PT, DPT (PHYSICAL AND OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (318) 620-0075

## Contact information

- **Practice address:** 204 BOOTS DR, FARMERVILLE, LA 71241-3102
- **Practice address phone:** (318) 620-0075
- **Practice address fax:** (318) 620-0070
- **Mailing address:** 246 ALONZO RD, WEST MONROE, LA 71291-1731
- **Mailing address phone:** (318) 620-0075

## Taxonomy

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