| NPI | 1003080367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEY JEROME JOHNSON Owner/President/Physical Therapist 337-462-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-07-18 |