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Organization
IN HOME REHAB OF LOUISIANA, LLC
Active
Organization
IN HOME REHAB OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARRON BUSH SMITH LOTR (OWNER)
(337) 541-0201
Entity
Organization
Contact information
Practice address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 849-7431
Mailing address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 849-7431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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