NPI 1528395621
Louisiana State University
Practice location
- Address
- 5213 Citrus Blvd APT S335, River Ridge, LA 70123-7229
- Phone
- (504) 343-2858
- Fax
- (504) 568-2127
- Mailing address
- 2020 Gravier St Fl 7, New Orleans, LA 70112-2272
Authorised official
- Name
- Gary R Glynn
- Title
- Head of Section of P.M.&r.
- Phone
- (504) 568-4624
Registered specialties (4)
Rehabilitation Clinic/Center
Primary
Rehabilitation Hospital Unit
Long Term Care Hospital
Rehabilitation Hospital
Registry record
- NPI
- 1528395621
- Entity type
- Organization
- NPI issued
- 10 Nov 2009
- Record last updated
- 10 Nov 2009
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.