| NPI | 1114003050 |
|---|---|
| Doing Business As | PRISM CENTER NATCHITOCHES |
| Entity Type | Organization |
| Authorized Contact | GERARD R HEBERT CFO 318-214-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 05-0800072) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 05-0800072) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-04-20 |