Organization
FUNCTIONAL REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E SCHLOSSER JR. MD,M.P.H. (OWNER)
(504) 324-4337
Entity
Organization
Contact information
Practice address
4520 WICHERS DR, SUITE202, MARRERO, LA 70072-3135
(504) 324-4337
Mailing address
4520 WICHERS DR, SUITE202, MARRERO, LA 70072-3135
(504) 324-4337
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
026430
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038067
—
LA
Enumeration date
04/01/2009
Last updated
06/17/2010
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