| NPI | 1619060886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TRUITT JANNEY Owner 225-791-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200083) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: LA 3062) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-06-24 |