| NPI | 1013468677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE FRY CAO 504-834-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 25251134) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |