Northlake Rehab Professionals
Northlake Rehab Professionals provides Specialist services in Hammond, Louisiana. Licensed in Alabama and Louisiana. Registered with an NPI since 2006.
- Licensed in
- AL, LA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2101 Robin AveHammond, LA 70403-5772 Not confirmed with CMS for 18 years — call before visiting
Phone: (985) 345-0033
Fax: (985) 345-1199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 09912R (LA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence AP04607 (AL) |
Record details
| NPI number | 1699744664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randolph Roig — Owner · (985) 345-0033 |
| NPI enumerated | March 14, 2006 |
| Last updated in NPPES | April 1, 2008 |
| Mailing address | 2101 Robin Ave, Hammond, LA 70403-5773 |
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