NPI | 1417945296 |
---|---|
Entity Type | Organization |
Authorized Contact | WULF THOMA Owner 337-233-0322 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2005-10-06 |
Last Update Date | 2011-09-02 |