| NPI | 1073530762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TRUITT JANNEY Owner 225-665-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 200083) |
| 235500000X Specialist/Technologist (Licence: LA 3533) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-08-21 |