Organization
PREMIER REHAB & AQUATICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN VINCE TASSIN LPT (PHYSICAL THERAPIST)
(985) 893-8285
Entity
Organization
Contact information
Practice address
7015 HWY 190 E SERV RD, SUITE 103, COVINGTON, LA 70433-4960
(985) 893-8285
(985) 893-8288
Mailing address
7015 HWY 190 E SERV RD, SUITE 103, COVINGTON, LA 70433-4960
(985) 893-8285
(985) 893-8288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00211
LA
Other
Enumeration date
03/14/2006
Last updated
11/14/2007
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