| NPI | 1124077250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JOSEPH VARISCO Managing Member 337-993-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |