| NPI | 1326099540 |
|---|---|
| Doing Business As | TRI-STATE PHYSICAL |
| Entity Type | Organization |
| Authorized Contact | DAN B TURNER President/Administrator 318-631-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-09-11 |