| NPI | 1518498948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA L MILLER Office Manager 337-475-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA ACA.200009) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |