| NPI | 1124059415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE VIOLA AARON Director 337-262-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 03789) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |