| NPI | 1093797722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GALLEGOS Chief Financial Officer 225-231-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-09-10 |