| NPI | 1336347350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MITCHELL LARSON Owner/Physical Therapist 225-744-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |