Organization
CALCASIEU REHAB AND SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL V MOSS PT (PHYSICAL THERAPIST)
(337) 217-0997
Entity
Organization
Contact information
Practice address
217 SAM HOUSTON JONES PKWY STE 103, LAKE CHARLES, LA 70611-5644
(337) 217-0997
(337) 217-0998
Mailing address
2100 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 310-5116
(337) 310-5118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00591
LA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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