NPI | 1326136300 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TOBEN GUILLORY Owner 318-323-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 261QP2000X) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-05-12 |