| NPI | 1174561526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN HOCUTT INZERELLA Owner Executive Director 337-837-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT00160R) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |