| NPI | 1376600130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODAY J. LAVERGNE President 318-443-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-05-28 |