| NPI | 1174308571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC MICHAEL ENGOLIA Manager, Physical Therapist 504-655-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |