| NPI | 1225592579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIAPATRICE BURROWS-ALLEN Owner 504-628-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |