| NPI | 1295153955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW POKORNY Owner/Operator 985-789-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 6928) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |