| NPI | 1275025538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DAUTERIVE Physical Therapist/Owner 504-390-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 08071) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-07-26 |