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Organization
CULICCHIA NEUROLOGICAL CLINIC
Active
Organization
CULICCHIA NEUROLOGICAL CLINIC
Active
Parent organization
CNC PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CNC PHYSICAL THERAPY
Authorized official
DARLA P ROST (BUSINESS OFFICE MANAGER)
(504) 340-6976
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE S750, MARRERO, LA 70072-3151
(504) 340-6976
(504) 349-6775
Mailing address
1111 MEDICAL CENTER BLVD, STE S750, MARRERO, LA 70072-3151
(504) 340-6976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797626
—
LA
Enumeration date
11/21/2011
Last updated
11/21/2011
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