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Organization
CROSSROADS REHABILITATION LLC
Active
Organization
CROSSROADS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R GRAYSON OTR (OWNER)
(318) 927-4987
Entity
Organization
Contact information
Practice address
123 W MAIN ST, HOMER, LA 71040-4435
(318) 927-4987
(318) 927-4987
Mailing address
207 N SERVICE RD E, PMB 207, RUSTON, LA 71270-2805
(318) 927-4987
(318) 927-4987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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