Provider Demographics
NPI:1104448521
Name:JOURNEY REHAB & WELLNESS
Entity type:Organization
Organization Name:JOURNEY REHAB & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:II
Authorized Official - Credentials:PT
Authorized Official - Phone:504-275-4312
Mailing Address - Street 1:16414 CORNUTA AVE APT 17
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4892
Mailing Address - Country:US
Mailing Address - Phone:504-275-4312
Mailing Address - Fax:
Practice Address - Street 1:16414 CORNUTA AVE APT 17
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-4892
Practice Address - Country:US
Practice Address - Phone:504-275-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty