Individual
MR. WALTER ANTHONY REGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 WHATLEY ST, RAYVILLE, LA 71269-3318
(337) 310-8500
(888) 241-3028
Mailing address
127 W BROAD ST, LAKE CHARLES, LA 70601-4393
(337) 310-8500
(888) 241-3028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07510F
LA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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