| NPI | 1043726631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SPOONER Owner 337-602-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-06-03 |