NPI 1003120080

Spine Intervention, LLC

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Kenner, LA

Practice location

Address: 1919 Veterans Memorial Blvd Suite 101, Kenner, LA 70062-4003
Phone: (504) 469-9641
Mailing address: 2840 W Airline Hwy Suite a, La Place, LA 70068-2951

Authorised official

Name: Fred Defrancesch
Title: Sole Member
Phone: (985) 479-8000

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 022596 (LA)

Other Physical Medicine & Rehabilitation providers in Louisiana →

Registry record

NPI: 1003120080
Entity type: Organization
NPI issued: 2 Aug 2010
Record last updated: 2 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.