| NPI | 1598710121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTGERUS F J JONGBLOETS Owner 985-532-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 5233772) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-12-28 |