Organization
PHYSICIANS TOTAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DIAZ (OFFICE MANAGER)
(504) 301-0164
Entity
Organization
Contact information
Practice address
4515 SHORES DR, METAIRIE, LA 70006
(504) 301-0164
Mailing address
4515 SHORES DR, METAIRIE, LA 70006
(504) 301-0164
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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