| NPI | 1255964110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ARDOIN Managing Partner 337-508-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |