| NPI | 1336391523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY MISTRETTA Physical Therapist 985-856-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 02594F) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |