# SOUTHERN LOUISIANA REHAB LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578517728
- **Authorized official:** JOSEPH BOZZELLE MD (DIRECTOR)
- **Authorized official phone:** (337) 837-3615

## Contact information

- **Practice address:** 310A YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
- **Practice address phone:** (337) 837-3615
- **Practice address fax:** (337) 839-8092
- **Mailing address:** PO BOX 73701, METAIRIE, LA 70033-3701
- **Mailing address phone:** (504) 888-1336
- **Mailing address fax:** (504) 888-3362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | LA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 02/03/2010