| |
8346 Kelwood Ave, Baton Rouge, LA 70806-4803 | |
(225) 400-9004 | |
(225) 810-3111 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 8346 Kelwood Ave, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801233879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8346 Kelwood Ave, Baton Rouge, LA 70806-4803 Ph: (225) 400-9004 | 8346 Kelwood Ave, Baton Rouge, LA 70806-4803 Ph: (225) 400-9004 |