| NPI | 1528427630 |
|---|---|
| Doing Business As | WHEAT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TRICIA NELSON Office Manager 318-238-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 04985) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |