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Contact Information

FUNCTIONAL REHABILITATION CENTER, LLC
4520 WICHERS DR
SUITE202
MARRERO, LA70072-3135
 Phone: 504-324-4337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for FUNCTIONAL REHABILITATION CENTER LLC · (Female)

NPI Number 1104068576
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2009
Last updated 06/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 026430
  • LA Medicaid 1038067
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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