| NPI | 1356319552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN VINCE TASSIN Physical Therapist 985-893-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 00211) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-11-14 |