Organization
ADVANCED REHABILITATION OF METAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN L LEBEAU (GENERAL MANAGER)
(225) 753-9491
Entity
Organization
Contact information
Practice address
4621 W NAPOLEON, SUITE 101, METAIRIE, LA 70001
(504) 889-1193
(504) 889-1194
Mailing address
4621 W NAPOLEON AVE, SUITE 101, METAIRIE, LA 70001-2487
(504) 889-1193
(504) 889-1194
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
LA
261QR0400X
Rehabilitation Clinic/Center
Primary
25283056
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349908400
DEPT OF LABOR
LA
01
—
3831740440
BLUE CROSS
LA
Enumeration date
12/12/2006
Last updated
12/01/2016
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