| 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 |