| NPI | 1275902140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL JUNEAU Co Owner 337-406-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 1528104882) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |