NPI | 1245567460 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN KENT SCARLE Owner 225-241-4212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 05176) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2009-11-09 |