| NPI | 1477554442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BOURGEOIS Manager 504-834-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 05029) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-02-10 |