| NPI | 1083243513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SIMON JIMENEZ Manager/Owner 337-523-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2021-10-05 |