| 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 |