| NPI | 1184810426 |
|---|---|
| Other Name | WELLNESS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JERI A BARRON Office Manager 985-649-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 06166) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-03-05 |