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Organization
REHABILITATION & SPORTS CARE CENTER LLC
Active
Organization
REHABILITATION & SPORTS CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNAN C KELSEY PT (OWNER)
(985) 747-3422
Entity
Organization
Contact information
Practice address
14159 HIGHWAY 16, AMITE, LA 70422-4603
(985) 747-3422
(985) 747-3424
Mailing address
PO BOX 971, AMITE, LA 70422-0971
(985) 747-3422
(985) 747-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3493
BLUE CROSS
LA
Enumeration date
05/23/2006
Last updated
08/31/2010
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