| NPI | 1477709681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA TREKELL BREWER Owner 318-222-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 06887) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-03-20 |