| NPI | 1194819607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET JANSSEN Administrator 337-721-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-07-01 |