Organization
PHYSICIANS SPINE & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN FALLS DC (OWNER)
(504) 577-4315
Entity
Organization
Contact information
Practice address
3648 PONTCHARTRAIN DR, SLIDELL, LA 70458-4816
(504) 577-4315
Mailing address
3648 PONTCHARTRAIN DR, SLIDELL, LA 70458-4816
(504) 577-4315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1649
LA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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