| NPI | 1447486865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI H PREJEAN Office Administrator 337-824-5488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2023-08-17 |