| NPI | 1508857954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA WIMBERLY Corp Sec/Treasurero Office Mgr 337-684-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PT00219) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |