Organization
CALCASIEU REHAB & SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V MOSS PT (OWNER)
(337) 310-5116
Entity
Organization
Contact information
Practice address
2100 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 310-5116
(337) 310-5118
Mailing address
2100 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 310-5116
(337) 310-5118
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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