Organization
PAIN AND PERFORMANCE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK HINES D.P.T. (OWNER/PRESIDENT)
(337) 504-5144
Entity
Organization
Contact information
Practice address
1144 COOLIDGE BLVD, SUITE F, LAFAYETTE, LA 70503-2622
(337) 504-5144
(337) 326-4545
Mailing address
1144 COOLIDGE BLVD, SUITE F, LAFAYETTE, LA 70503-2622
(337) 504-5144
(337) 326-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08100
LA
Other
Enumeration date
02/21/2014
Last updated
04/13/2016
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