| NPI | 1518996271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L NICKERSON Owner 337-234-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-07-21 |