| NPI | 1275716524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA LEGOULLON Clinical Director 337-504-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4981) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2023-06-10 |