Provider Demographics
NPI:1528578275
Name:NEW ORLEANS WELLNESS AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:NEW ORLEANS WELLNESS AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:504-373-6717
Mailing Address - Street 1:141 ROBERT E LEE BLVD STE 147
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2534
Mailing Address - Country:US
Mailing Address - Phone:504-373-6717
Mailing Address - Fax:
Practice Address - Street 1:2655 TULANE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7449
Practice Address - Country:US
Practice Address - Phone:504-373-6717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty