NPI | 1477689305 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE JOHN IVANICKY Owner 225-766-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: LA 024904) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |