| NPI | 1124138573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ELIZABETH TRAHAN PT A, Administrator/Owner 985-641-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: LA A1975G) |
| 225XH1200X Occupational Therapist, Hand (Licence: LA OTT.Z12066) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |