Provider Demographics
NPI:1043836141
Name:REHAB PLUS, LLC
Entity type:Organization
Organization Name:REHAB PLUS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARD
Authorized Official - Suffix:
Authorized Official - Credentials:BCPA, HITCM-PM
Authorized Official - Phone:985-402-3103
Mailing Address - Street 1:1242 S MORRISON BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5702
Mailing Address - Country:US
Mailing Address - Phone:985-402-3103
Mailing Address - Fax:985-247-8229
Practice Address - Street 1:1242 S MORRISON BLVD STE O
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5702
Practice Address - Country:US
Practice Address - Phone:985-402-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy