Organization
BOOST REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BIANCHINI PHD (MEMBER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
2901 N I 10 SERVICE RD E, STE 201, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Mailing address
2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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