Anacoco Bayou Physical Rehab
Organization Active NPI Physical Therapy Clinic/Center · Anacoco, LA
NPI 1235537168 · NPPES record last updated Dec 9, 2014
Key facts
- NPI
- 1235537168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 01612 (LA)
- Legal business name
- ANACOCO BAYOU PHYSICAL REHAB
- Practice address
- 154 E Lake Dr
Anacoco, LA 71403-3158 - Phone
- (337) 224-3471
- NPI assigned
- Dec 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey Don Warren I, BS
- Title
- Member
- Phone
- (337) 224-3471
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 01612 | LA | Yes |
Addresses
Primary practice location
154 E Lake Dr
Anacoco, LA 71403-3158
Mailing address
154 E Lake Dr
Anacoco, LA 71403-3158
Phone (337) 224-3471
Other providers in Anacoco, LA
All providers in Anacoco, LA · Physical Therapy Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.