NPI | 1215997838 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER RANDALL PATTON General Manager 318-629-1588 |
Organization Subpart ? | No |
Primary Taxonomy | 2251C2600X Physical Therapist, Cardiopulmonary |
Enumeration Date | 2006-03-27 |
Last Update Date | 2007-11-12 |