Southern Louisiana Rehab LLC

NPI #1578517728 in Lafayette, Louisiana

Provider Information

NPI Number
1578517728
Entity Type
Organization
Organization Name
Southern Louisiana Rehab LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
May 20, 2006
Last Updated
Feb 3, 2010

Practice Location

Address
310A YOUNGSVILLE HWY
ZIP Code
70508-4524
Phone
(337) 837-3615

Authorized Official

Name
JOSEPH BOZZELLE, MD
Title
DIRECTOR
Phone
(337) 837-3615

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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