Organization
SUPERIOR REHABILITATION SERVICES, LLC
Active
Organization
SUPERIOR REHABILITATION SERVICES, LLC
Active
Other names
Action Physical Therapy & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY JOSEPH DRAGON JR. PT (PT, DPT/OWNER)
(985) 641-2866
Entity
Organization
Contact information
Practice address
85 WHISPERWOOD BLVD, SLIDELL, LA 70458-1136
(985) 641-2866
(985) 781-5395
Mailing address
85 WHISPERWOOD BLVD, SLIDELL, LA 70458-1136
(985) 641-2866
(985) 781-5395
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
04523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134228
—
LA
Enumeration date
06/25/2006
Last updated
08/22/2020
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