| NPI | 1043345747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK BRAVO Owner President 337-406-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |