| NPI | 1215975859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L BELLEAU Owner 225-931-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-18 |