| NPI | 1346563111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W. WOOD Therapist 318-283-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA Z12328) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |