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Contact Information

CENTURY 2 THERAPY DIVISION STREET CENTER, LLC
3901 HOUMA BLVD
STE 113
METAIRIE, LA70006-2930
 Phone: 504-888-1330
 Fax: 504-888-6201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for CENTURY 2 THERAPY DIVISION STREET CENTER LLC · (Female)

NPI Number 1023014131
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1113671
  • LA Other 7307358 AETNA PROVIDER NUMBER
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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