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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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