| NPI | 1558580696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ADAMS BONURA Physical Therapist 504-909-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04130) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-06-16 |