Organization
CALLABA THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE CALLABA (OWNER)
(337) 540-7226
Entity
Organization
Contact information
Practice address
134 ARLINGTON DR, LAKE CHARLES, LA 70605-5702
(337) 540-7226
(337) 475-0150
Mailing address
928 TERRY LN, LAKE CHARLES, LA 70605-2650
(337) 540-7226
(337) 475-0150
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT04405
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068683
—
LA
Enumeration date
04/08/2014
Last updated
04/08/2014
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