| NPI | 1144270125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN C GUILBEAU Owner 318-323-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 00999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 04764R) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 07456) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 06932) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-12-14 |