| NPI | 1235349929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUNALINI B SHAH Owner 318-671-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA L40598R) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-09-09 |