| NPI | 1285172494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY DORRIS DOMIANO Owner 504-565-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-01-10 |