NPI | 1386010213 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C BROWER Clinic Director 504-304-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1041) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 024904) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2015-08-14 |