| NPI | 1457427627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A WALL Physical Therapist Owner 985-735-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 03388) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-04-03 |