| NPI | 1013097054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHIFLETT DUCOTE President 225-272-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-07-18 |