| NPI | 1255381976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RILEY Physical Therapist 318-728-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-09-11 |