Organization
NORTHEAST LOUISIANA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY SCARBOROUGH ECKHARDT MOT, LOTR, PT, DPT (PHYSICAL AND OCCUPATIONAL THERAPIST)
(318) 620-0075
Entity
Organization
Contact information
Practice address
204 BOOTS DR, FARMERVILLE, LA 71241-3102
(318) 620-0075
(318) 620-0070
Mailing address
246 ALONZO RD, WEST MONROE, LA 71291-1731
(318) 620-0075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
PT 08698
LA
261QR0400X
Rehabilitation Clinic/Center
OTT.200620
LA
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/21/2015
Last updated
11/22/2024
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