| NPI | 1255407193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS EDDY EDWARD JOHNSON Physical Therapists Owner 225-791-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-11-15 |