NPI | 1003120080 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED DEFRANCESCH Sole Member 985-479-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA 022596) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2010-08-02 |