| NPI | 1073723219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT FRUGE President 337-896-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01594) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |