NPI | 1619324886 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN CHARLES ROY Exercise Therapist/ Owner 337-371-9312 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |