| NPI | 1487063616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BENEDICT BOURGEOIS Physical Therapist/Owner 225-744-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2015-02-03 |