Provider Demographics
NPI:1437333564
Name:ROMIG, DENNIS
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:ROMIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 AVENUE SAINT GERMAIN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-6433
Mailing Address - Country:US
Mailing Address - Phone:504-782-6659
Mailing Address - Fax:
Practice Address - Street 1:3960 FLORIDA ST STE 3
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3340
Practice Address - Country:US
Practice Address - Phone:504-782-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist