| NPI | 1083088520 |
|---|---|
| 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 |