Individual
MICHAEL STEPHEN RELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
101 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 898-6319
(985) 867-8803
Mailing address
101 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 898-6319
(985) 867-8803
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO2891
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHOTICS
LA
Enumeration date
10/18/2018
Last updated
10/18/2018
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