NPI | 1548592975 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL POTTS Owner 318-324-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA MD016865) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2010-02-10 |
Last Update Date | 2011-01-10 |