| NPI | 1033259486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W PAIGE Owner Licensed Physical Therapist 225-473-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-07-24 |