| NPI | 1316124860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALNA RODGERS Manager 318-221-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 019475) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |