| NPI | 1548659840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAH MCGRAW Bus Manager 318-336-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 09009R) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2024-01-31 |