| NPI | 1154631836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WILSON Administrator Assistant 225-733-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 04216) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-11-04 |