Organization
REHABILITATION CONCEPTS PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD JACKSON PHYSICAL THERAPIST (PRESIDENT)
(318) 220-7334
Entity
Organization
Contact information
Practice address
350 JORDAN ST, SHREVEPORT, LA 71101-4847
(318) 220-7334
(318) 220-7017
Mailing address
350 JORDAN ST, SHREVEPORT, LA 71101-4847
(318) 220-7334
(318) 220-7017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559245
—
LA
Enumeration date
01/17/2007
Last updated
08/22/2020
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