Organization
TRIUMPH REHABILITATION AND SPORTS THERAPY CLINIC, LLC
Active
Other names
TRIUMPH Rehabilitation / Sports Injuries Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON MOSS OT (OWNER)
(318) 343-1870
Entity
Organization
Contact information
Practice address
350 DESIARD PLAZA DR, MONROE, LA 71203-4959
(318) 343-1870
(318) 345-2862
Mailing address
PO BOX 9144, MONROE, LA 71211-9144
(318) 343-1870
(318) 345-2862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1434957
—
LA
Enumeration date
06/05/2012
Last updated
07/05/2023
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