| NPI | 1497900476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CHAD ASHER Physical Therapist 318-503-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |