# CROSSROADS REHABILITATION LLC

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

## Provider details

- **NPI number:** 1861775058
- **Authorized official:** STEVEN R GRAYSON OTR (OWNER)
- **Authorized official phone:** (318) 927-4987

## Contact information

- **Practice address:** 123 W MAIN ST, HOMER, LA 71040-4435
- **Practice address phone:** (318) 927-4987
- **Practice address fax:** (318) 927-4987
- **Mailing address:** 207 N SERVICE RD E, PMB 207, RUSTON, LA 71270-2805
- **Mailing address phone:** (318) 927-4987
- **Mailing address fax:** (318) 927-4987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 09/23/2011