| NPI | 1093088098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MIRANDA Owner, Physical Therapist 225-644-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04493) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2013-07-31 |