Regional Rehabilitation Service
Organization Active NPI Recreation Therapist · Evergreen, LA
NPI 1699116103 · NPPES record last updated Jul 12, 2013
Key facts
- NPI
- 1699116103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Recreation Therapist 225800000X
- Legal business name
- REGIONAL REHABILITATION SERVICE
- Practice address
- 318 Hill St
Evergreen, LA 71333-0364 - Phone
- (318) 359-6889
- NPI assigned
- Jul 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Patrick James Sullivan, REHABILITATION
- Title
- Owner/Rehabilitation Therapist
- Phone
- (318) 359-6889
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist |
225800000X | Yes |
Addresses
Primary practice location
318 Hill St
Evergreen, LA 71333-0364
Mailing address
PO Box 364
318 Hill St
Evergreen, LA 71333-0364
Phone (318) 359-6889
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2013. 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.