| NPI | 1285031633 |
|---|---|
| Doing Business As | LEGLUE PHYSICAL MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTI ANTEE Practice Manager 318-442-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: LA 018498) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: LA ACU.200012) |
| 225100000X Physical Therapist (Licence: LA 01110F) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |