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Organization

KARE THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODERICK BERNARD WILLIAMS OT (OWNER)
(225) 677-8468
Entity
Organization

Contact information

Practice address
36401 MANCHAC CROSSING AVE, PRAIRIEVILLE, LA 70769-3260
(225) 677-8468
Mailing address
36401 MANCHAC CROSSING AVE, PRAIRIEVILLE, LA 70769-3260
(225) 677-8468

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.ZII008
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023310331GROUP MEMB
I BILL UNDER ANOTHER GROUP FOR MEDICARE I RESIGN MY BENFITS TO THEM
LA
Enumeration date
03/10/2015
Last updated
03/10/2015
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