| NPI | 1518311604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LEGAUX Owner 225-788-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2017-10-24 |