NPI | 1114093507 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER JANNISE Office Manager 337-594-0038 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 00766) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-08-30 |