| NPI | 1437159852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN BOULET Physical Therapist/Owner 337-264-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA PT0678) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-10-30 |