Organization
ANACOCO BAYOU PHYSICAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DON WARREN I BS (MEMBER)
(337) 224-3471
Entity
Organization
Contact information
Practice address
154 E LAKE DR, ANACOCO, LA 71403-3158
(337) 224-3471
Mailing address
154 E LAKE DR, ANACOCO, LA 71403-3158
(337) 224-3471
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01612
LA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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