Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Rehabilitation Hospital LLC

Organization Pulmonary Disease Physician · NPI 1639866353

Professional Rehabilitation Hospital LLC is a Pulmonary Disease Physician in Vidalia, Louisiana. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Frnt ST
Vidalia, LA 71373-2836
Phone: (318) 336-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 Front St, Vidalia, LA 71373-2837 — (318) 336-6500

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1639866353
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Rehabilitation Hospital, LLC
Authorized official Sonja Watkins — Cfo · (601) 824-9010
Other names Riverbridge Pulmonary Clinic
NPI enumeratedApril 21, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address209 Front St, Vidalia, LA 71373-2837

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