| NPI | 1063473163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY TRAVIS Owner Physical Therapist 985-732-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA PT01524R) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-08-26 |