| NPI | 1386711323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SCHAUBHUT Coordinator Medicaid Programs 225-473-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |