NPI | 1568830180 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM ALEXANDER ELAM Owner/CEO/Physical Therapist 225-719-1957 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2015-09-14 |
Last Update Date | 2015-09-14 |