| NPI | 1144538455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA KING Office Manager 337-289-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |