| NPI | 1326564311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY WHITLOCK Credentialing Manager 318-325-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07456) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-28 |