Organization
MAX REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON C. GAVIN P. T. (PHYSICAL THERAPIST)
(225) 683-1111
Entity
Organization
Contact information
Practice address
9609 PLANK RD, SUITE P, CLINTON, LA 70722-3702
(225) 683-1111
(225) 683-1177
Mailing address
PO BOX 1291, SAINT FRANCISVILLE, LA 70775-1291
(225) 683-1111
(225) 683-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03685
LA
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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