| NPI | 1053402453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN RICHARD Office Manager 337-363-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 01613) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-07-23 |