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3960 Florida St Ste 3, Mandeville, LA 70448-3340 | |
(504) 782-6659 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3960 Florida St Ste 3, Mandeville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740813534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Dennis Romig |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437333564 PECOS PAC ID: 4385961176 Enrollment ID: I20150316000163 |
Mailing Address | Practice Location Address |
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1140 Avenue Saint Germain, Covington, LA 70433-6433 Ph: (504) 782-6659 | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 Ph: (504) 782-6659 |