| NPI | 1518530401 |
|---|---|
| Doing Business As | ONWARD LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | JOHN J BROUSSARD Owner 337-257-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |