| NPI | 1306931282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY WAYNE HARRIS Physical Therapist Owner 318-747-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 3546520001) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-03-18 |