Revive Physical Therapy, Llc

LBN: Revive Physical Therapy, Llc
Revive Physical Therapy, Llc is an health care organization with primary practice located at 12550 Airline Hwy Ste 102 , Gonzales LA 70737-2269. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Revive Physical Therapy, Llc can be contacted via phone (985) 703-2412, or through Broussard, Tanya via phone (337) 704-5611.

Contact Information

Primary practice address
12550 Airline Hwy Ste 102 Gonzales LA 70737-2269
Phone: (985) 703-2412
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broussard, Tanya
Phone: (337) 704-5611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1982102620
LBN Legal business name Revive Physical Therapy, Llc
DBA Doing business as
Authorized official Broussard, Tanya
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2018
Last updated Jan 29th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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