| NPI | 1316784911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BRITTAIN Manager 337-309-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2084N0600X |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |