| NPI | 1427055193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CLAIBORNE LANFORD Administer 318-446-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-05-25 |