| NPI | 1487297388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA COONEY Owner 985-966-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |