Organization
CUSTOM CARE THERAPY AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN ROBBINS HOUSE P.T. (OWNER)
(318) 949-9665
Entity
Organization
Contact information
Practice address
1151 HIGHWAY 614, HAUGHTON, LA 71037-8977
(318) 949-9665
(318) 949-3400
Mailing address
PO BOX 336, PRINCETON, LA 71067-0336
(318) 949-9665
(318) 949-3400
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT544
LA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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