NPI | 1588761712 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT MANCUSO Owner/Physical Therapist 985-863-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT00163r) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |