Organization
CHILDRENS REHAB THERAPY
Active
Organization
CHILDRENS REHAB THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCHMIDT (MANAGER)
(985) 276-4068
Entity
Organization
Contact information
Practice address
69315 PREVOST RD, MANDEVILLE, LA 70471-7703
(985) 276-4068
Mailing address
69315 PREVOST RD, MANDEVILLE, LA 70471-7703
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
07162R
LA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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