| NPI | 1619156916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYLAND KEVIN BEURLOT Physician/Owner 318-473-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2023-09-28 |