| NPI | 1225242324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERWARD THOMAS NORSWORTHY Physical Therapist 985-652-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-04-21 |