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Contact Information

MODALITIES RECOVERY CENTER
4228 WILLIAMS BLVD STE 201
KENNER, LA70065-2270
 Phone: 786-763-7330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for MODALITIES RECOVERY CENTER · (Female)

NPI Number 1023795119
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2023
Last updated 04/10/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1979031
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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