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 |