| NPI | 1154742104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE PAIGE Physical Therapist 225-250-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07168R) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |