Organization
REGIONAL REHABILITATION SERVICE
Active
Organization
REGIONAL REHABILITATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JAMES SULLIVAN REHABILITATION (OWNER/REHABILITATION THERAPIST)
(318) 359-6889
Entity
Organization
Contact information
Practice address
318 HILL ST, EVERGREEN, LA 71333-0364
(318) 359-6889
Mailing address
PO BOX 364, 318 HILL ST, EVERGREEN, LA 71333-0364
(318) 359-6889
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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