| NPI | 1538101902 |
|---|---|
| Doing Business As | WIED PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAURA CAGE WIED Secretary Treasurer 318-322-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-07-29 |