| NPI | 1154440949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI W BLOUIN Insurance Supervisor 985-653-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 7000) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-06-20 |