Organization
PHYSICAL THERAPY AND REHABILITATION CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE HAYDEL TRAHAN P.T. (OWNER)
(985) 876-7188
Entity
Organization
Contact information
Practice address
225 CORPORATE DR, HOUMA, LA 70360-2769
(985) 876-7188
(985) 868-8654
Mailing address
225 CORPORATE DR, HOUMA, LA 70360-2769
(985) 876-7188
(985) 868-8654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1615
LA
225100000X
Physical Therapist
PT166
LA
225200000X
Physical Therapy Assistant
A3606
LA
225X00000X
Occupational Therapist
Z11353
LA
235Z00000X
Speech-Language Pathologist
4574
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542563
—
LA
Enumeration date
07/01/2005
Last updated
05/27/2008
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