NPI | 1043676554 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA L. PROFFITT President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-01-13 |
Last Update Date | 2024-06-24 |