Organization
REHAB INSTITUTE, INC
Active
Other names
Qualls & Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAYNE QUALLS PHYSICAL THERAPIST (OWNER)
(337) 528-2828
Entity
Organization
Contact information
Practice address
702 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-2828
Mailing address
702 1ST AVE, SULPHUR, LA 70663-3423
(337) 528-2828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00205
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655279
—
LA
Enumeration date
12/21/2006
Last updated
08/22/2020
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