| NPI | 1174626279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE VAUGHN Office Manager 337-546-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: LA 021809) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |