NPI | 1083088520 |
---|---|
Doing Business As | CRYOSPA |
Entity Type | Organization |
Authorized Contact | MATTHEW FRANZ ST. AMANT Member 318-742-3408 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 08831R) |
Enumeration Date | 2015-11-20 |
Last Update Date | 2015-11-20 |