| NPI | 1568154862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL IVAHNA LEACH Manager/Member/Owner/Physician 504-915-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-27 |