| NPI | 1134204167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILBURN MOORE Physical Therapist 504-943-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA None) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |