| NPI | 1265992010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH RANSONET HENDERSON Md/Owner 318-681-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |