| NPI | 1104140565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BIENVENU Partner 318-481-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |