| NPI | 1487742839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE J HIMEL Owner 985-876-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 00443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 01402) |
| 225100000X Physical Therapist (Licence: LA 01848) | |
| 225100000X Physical Therapist (Licence: LA 00012R) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |