NPI | 1386906964 |
---|---|
Doing Business As | ELITE PHYSICAL THERAPY & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | SAMUEL TREY WILLIAMSON CEO 225-924-2424 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |