Organization
ACTION REHAB AND SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREY BRADFORD (PRESIDENT)
(225) 214-1260
Entity
Organization
Contact information
Practice address
1443 DELPLAZA DR, SUITE 6, BATON ROUGE, LA 70815-4167
(225) 214-1260
(225) 214-1263
Mailing address
1443 DELPLAZA DR, SUITE 6, BATON ROUGE, LA 70815-4167
(225) 214-1260
(225) 214-1263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439185
—
LA
Enumeration date
02/21/2007
Last updated
07/09/2008
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