| NPI | 1265742837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BATHERSON Owner/President 504-828-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 14222r) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 583) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |