| NPI | 1558679589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER COUVILLION Managing Partner 318-787-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04977) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 5969) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |