Individual
MR. DAVID WAYNE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
611 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 477-8823
(337) 477-0143
Mailing address
611 W COLLEGE ST, LAKE CHARLES, LA 70605-1521
(337) 477-8823
(337) 477-0143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00206
LA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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